Bag-in-the-lens intraocular lens implantation before 12 weeks of age in congenital cataract

被引:2
|
作者
Sand, Mari Kathrine [1 ,2 ]
Cholidis, Symira [1 ]
Kristianslund, Olav [1 ,2 ]
Drolsum, Liv [1 ,2 ]
机构
[1] Oslo Univ Hosp, Dept Ophthalmol, Oslo, Norway
[2] Univ Oslo, Inst Clin Med, Oslo, Norway
关键词
bag-in-the-lens intraocular lens; cataract surgery; congenital cataract; intraoperative and postoperative complications; secondary glaucoma; visual axis opacification; PERSISTENT FETAL VASCULATURE; SURGERY; MANAGEMENT; GLAUCOMA; APHAKIA;
D O I
10.1111/aos.15647
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PurposeThe aim of this study was to evaluate the intra- and postoperative complications, especially the risk of visual axis opacification (VAO), following the implantation of the bag-in-the-lens (BIL) intraocular lens (IOL) in infants with congenital cataract operated on before 12 weeks of age. MethodsInfants operated on before 12 weeks of age between June 2020 and June 2021 with a follow-up longer than 1 year were included in the present retrospective study. This was a first-experience cohort of an experienced paediatric cataract surgeon with this type of lens. ResultsNine infants (13 eyes) with a median age at surgery of 28 days (range, 21-49 days) were included. The median follow-up time was 21.6 months (range, 12.2-23.4 months). The lens was correctly implanted with the anterior and posterior capsulorhexis edges placed into the interhaptic groove of the BIL IOL in seven of 13 eyes; none of these eyes developed VAO. In the remaining six eyes, the IOL was only fixated to the anterior capsulorhexis edge, and in these cases, an anatomical anomaly of the posterior capsule and/or anterior vitreolenticular interface dysgenesis were observed. These six eyes developed VAO. One eye had a partial iris capture in the early postoperative phase. Otherwise, the IOL remained well centred and stable in all eyes. Anterior vitrectomy was necessary in seven eyes due to vitreous prolapse. One patient with unilateral cataract was diagnosed with bilateral primary congenital glaucoma at 4 months of age. ConclusionImplantation of the BIL IOL is safe even in the youngest age group less than 12 weeks of age. Although being a first-experience cohort, the BIL technique is shown to reduce the risk of VAO and the number of surgical procedures.
引用
收藏
页码:636 / 643
页数:8
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