Офтальмохирургия (Mar 2013)
Extremely small incisions 25G in surgery of congenital cataracts complicated with microphthalmia in children of the first year of life
Abstract
ABSTRACT Purpose. Aim of the work was a comparative study of the results of cataract surgery with IOL implantation in children with congenital cataracts, complicated with microphthalmia operated on in the age from 1 to 12 months using the 20G and 25G technology. Materials and methods. A comparative study of cataract extraction with IOL implantation and pars plana removal of posterior capsule with a limited anterior vitrectomy were performed in 54 children with congenital cataracts, complicated with microphthalmia operated on in the age from 1 to 12 months (79 eyes). The children were divided into two subgroups: in the first group after the IOL implantation the pars plana removal of posterior capsule with a limited anterior vitrectomy 20G was carried in 26 children (41 eyes), and in the second group - with an access through pars plana using extremely small incisions 25G (28 patients, 38 eyes). Results. In the first subgroup in the early postoperative follow-up the complication rate was higher due to a more frequent occurrence of hyphema and a development of inflammatory reaction, the difference is statistically significant (34.1 and 10.5% respectively, p<0.01). Conclusions. The use of ultra-small accesses 25G, for the posterior casulectomy with the anterior vitrectomy after IOL implantation allows to reduce the quantity of early postoperative complications after removal of congenital cataracts, complicated with microphthalmia.
