CATARACT-SURGERY IN CHILDREN WITH CAPSULORHEXIS OF ANTERIOR AND POSTERIOR CAPSULES AND HEPARIN-SURFACE-MODIFIED INTRAOCULAR LENSES

被引:63
作者
ZETTERSTROM, C
KUGELBERG, U
OSCARSON, C
机构
[1] Department of Ophthalmology, St. Erik Eye Hospital, Stockholm
关键词
CAPSULORHEXIS; CATARACT SURGERY; CHILDREN; HEPARIN-SURFACE-MODIFIED INTRAOCULAR LENS;
D O I
10.1016/S0886-3350(13)80645-1
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Cataract surgery was performed in 21 eyes in 14 children (one to 12 years, 5.6 +/- 4.0 [mean +/- SD]). Cataract surgery was standardized and included capsulorhexis of the anterior capsule, irrigation/aspiration of the nucleus and cortex, puncture of the posterior capsule, injection of sodium hyaluronate (Healon GV(R), 14 mg/ml) between the posterior capsule and the vitreous, and capsulorhexis of the posterior capsule. At the end of the procedure, a heparin-surface-modified (HSM) poly-(methyl methacrylate) intraocular lens (IOL) was implanted in the capsular bag. Follow-up ranged from four to 16 months. No complications such as the appearance of vitreous in the anterior chamber occurred during surgery. A mild postoperative inflammation was seen in all cases. Opacification of the visual axis was seen in one eye ten months after surgery. Posterior synechial formation was seen in one eye. Our results suggest that capsulorhexis of the anterior and posterior capsules with implantation of an HSM IOL in the capsular bag is a safe procedure in children and produces good postoperative results.
引用
收藏
页码:599 / 601
页数:3
相关论文
共 22 条
[1]  
Choyce DP, Correction of uni-ocular aphakia by means of anterior chamber acrylic implants, Trans Ophthalmol Soc UK, 78, pp. 459-470, (1958)
[2]  
Binkhorst CD, Gobin MH, Injuries to the eye with lens opacity in young children, Ophthalmologica, 148, pp. 169-183, (1964)
[3]  
Sinskey RM, Karel F, Dal Ri E, Management of cataracts in children, J Cataract Refract Surg, 15, pp. 196-200, (1989)
[4]  
Gimbel HV, Ferensowicz M, Raanan M, DeLuca M, Implantation in children, J Pediatr Ophthalmol Strabismus, 30, pp. 69-79, (1993)
[5]  
Gimbel HV, Neuhann T, Development, advantages, and methods of the continuous circular capsulorhexis technique, J Cataract Refract Surg, 16, pp. 31-37, (1990)
[6]  
Moisseiev J, Bartov E, Schochat A, Blumenthal M, Longterm study of the prevalence of capsular opacification following extracapsular cataract extraction, J Cataract Refract Surg, 15, pp. 531-533, (1989)
[7]  
Hiles DA, Intraocular lens implantation in children with monocular cataracts, 1974-1983, Ophthalmology, 91, pp. 1231-1237, (1984)
[8]  
Zetterstrom C, Incidence of posterior capsule opacification in eyes with exfoliation syndrome and heparinsurface-modified intraocular lenses, Journal of Cataract & Refractive Surgery, 19, pp. 344-347, (1993)
[9]  
Channel] MM, Beckman H, Intraocular pressure changes after neodymium-YAG laser posterior capsulotomy, Archives of Ophthalmology, 102, pp. 1024-1026, (1984)
[10]  
Vine AK, Ocular hypertension following Nd:YAG laser capsulotomy: a potentially blinding complication, Ophthalmic Surg, 15, pp. 283-284, (1984)