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Abstract #24436 Published in IGR 11-3

Clinical analysis of postoperative complications of infantile congenital cataract surgery

Xiao W; Zhao D-X; Pu W; Zhang J-S
International Journal of Ophthalmology 2009; 9: 861-864


AIM: To evaluate the related factors of postoperative complications of infantile congenital cataract surgery. METHODS: A retrospective study of a consecutive case series of 105 cases (186 eyes) of infantile congenital cataract at the age of 1.5-30 months. A cataract extraction + posterior continuous circular capsulorhexis (PCCC) + anterior vitrectomy (AV) is performed for each operated eye. The postoperative follow up ranged from 6-30 months. Complications were carefully observed within 1 month till 30 months postoperatively. The relations between the complications and the operation method the surgeon used, and the ages the children received the surgery, were analyzed. RESULTS: Group 1 (< 3 months group) shows the highest complication rate, include aphakic glaucoma (25%), corneal edema (57%) and intraocular inflammatory reaction (12%), shortly after cataract surgery; group 2 (3-6 months) had less complications: 5%, 31% and 11%, respectively; group 3 (7-12 months, 3%, 24% and 4%) and, group 4 (13-30 months, 0, 17% and 4%). CONCLUSION: In infantile cataract surgery, the younger patients receive the surgery, the greater risk of postoperative complications will be. LA: Chinese

Dr. W. Xiao, Department of Ophthalmology, Shengjing Affiliated Hospital, China Medical University, Shenyang 110003, Liaoning Province, P.R. China. xiaow@sj-hospital.org


Classification:

9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)



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