Outcome of surgery with intraocular implantation for congenital cataract Kensaku Iwata 1 , Sohei Nakamura 2 , Toru Urano 2 , Ryoji Yamakawa 2 , Shiiho Watanabe 3 , Shinichi Otsuka 4 1Dept of Ophthalmol, Kumamoto Central Hosp 2Dept of Ophthalmol, Kurume Univ Sch of Med 3Dept of Ophthalmol, Kurume Univ Med Cent 4Otsuka Eye Clin pp.1895-1899
Published Date 2007/10/15
DOI https://doi.org/10.11477/mf.1410101963
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Abstract. Purpose:To report the outcome of surgery for congenital cataract. Cases and Method:This review was made on 17 eyes of 11 cases who received surgery in the past 80 months. Six cases were bilaterally and 5 were unilaterally affected. The age ranged from 5 months to 12 years, average 4.3 years. All the eyes received aspiration of lens nucleus with in-the-bag fixation of intraocular lens(IOL). Sixteen eyes received posterior capsulotomy and anterior vitrectomy. IOL power was calculated by SRK-T formula. Hyperopia by 2 diopters or more was intended for cases under 2 years of age. Emmetropia was intended for those aged 6 years or over. Results:In all the eyes, IOL was well-fixated for 6 months or longer. One month after surgery, power of refraction was within ±1.0 diopter of predicted value in 13 eyes(76%). The final refraction differed by ±1.0 diopter from emmetropia in 10 eyes(59%). Three eyes showed opacity of posterior capsule and 1 eye showed posterior synechia with contracture of anterior capsule. Conclusion:Surgery with IOL implantation was safe and useful for congenital cataract by using our formula for IOL power calculation.

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