Efficacy of surgical treatment of traumatic cataract with simultaneous intraocular lens implantation in children
- Authors: Zakirkhodzhayeva D.A.1
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Affiliations:
- The Ministry of Health of Uzbekistan, Tashkent Pediatric Medical Institute
- Issue: Vol 4, No 1 (2013)
- Pages: 37-40
- Section: Articles
- URL: https://journals.eco-vector.com/pediatr/article/view/1183
- DOI: https://doi.org/10.17816/PED4137-40
- ID: 1183
Cite item
Abstract
Background: eye injury is often accompanied by lens damage. Aim: To evaluate the efficacy of surgical treatment of traumatic cataract with simultaneous IOL implantation in children. Material and methods: The results of surgical treatment of traumatic cataract with simultaneous IOL implantation in 62 children were analyzed: in 48 boys (77.4%) and 14 girls (22.6%) with a mean age 8.1 years. Results: visual acuity after surgery gradually increased from 0.09 to 0.22 by the end of the first month, 0.43 in 6 months and 0.47 in one year of follow-up. In 85.5% of the operated children visual acuity in the late post-op period was accounted 0.3–1.0, and in 82.2% of cases binocular vision was recovered. In the early postoperative period following complications were observed: exudative iridocyclitis — 16.1%; deposits of fibrin in the pupil — 8%; pigment deposits on surface of the IOL — 19%; secondary cataract — 12%; IOL or its haptics dislocation — 3% cases. Conclusions: Early IOL implantation during traumatic cataract surgery in children is suitable. Use of viscoelastics allows minimizing the severity of postoperative inflammation and reducing a risk of complications. Intraocular injection of Gemasa during surgery is effective to resolve hyphema, intraocular hemorrhages and fibrinoid exudate.
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About the authors
Diloram Asrarovna Zakirkhodzhayeva
The Ministry of Health of Uzbekistan, Tashkent Pediatric Medical Institute
Email: mbshakur@mail.ru
Assistant Professor, Department of Ophthalmology, Pediatric Ophthalmology
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