Posterior continuous curvilinear capsulorhexis with anterior vitrectomy vs optic capture buttonholing without anterior vitrectomy in pediatric cataract surgery.
Journal
Journal of cataract and refractive surgery
ISSN: 1873-4502
Titre abrégé: J Cataract Refract Surg
Pays: United States
ID NLM: 8604171
Informations de publication
Date de publication:
01 07 2022
01 07 2022
Historique:
received:
31
05
2021
accepted:
13
10
2021
pubmed:
22
10
2021
medline:
29
6
2022
entrez:
21
10
2021
Statut:
ppublish
Résumé
To investigate long-term complications after pediatric cataract surgery with implantation of a heparin-coated polymethyl methacrylate intraocular lens (PMMA IOL) and posterior continuous curvilinear capsulorhexis (PCCC) with anterior vitrectomy vs PCCC without anterior vitrectomy with optic capture buttonholing. Department of Ophthalmology, Goethe University, Frankfurt, Germany. Prospective randomized clinical trial. Eyes with unilateral or bilateral congenital cataract without further pathologies or former surgeries were randomly assigned in 2 groups: cataract removal, IOL implantation, and PCCC with anterior vitrectomy (group A) or posterior optic buttonholing without anterior vitrectomy (group B). The main outcome measures were posterior capsule opacification (PCO), complication rates, and refractive development. 58 eyes of 41 pediatric cataract surgery patients were included. The mean age at the time of operation was 66.05 months (±29.39). In group A (n = 26), 2 eyes required treatment for PCO, whereas the optic axis remained clear in all eyes in group B (n = 30), which was statistically insignificant. In addition, group B had a slightly lower rate of complications. The mean spherical equivalent after a mean postoperative follow-up of 6.5 years was -0.11 ± 2.51 diopters (D) (-5.0 to +4.0 D) in group A and -0.08 ± 2.14 D (-5.0 to +4.0 D) in group B, which was also statistically insignificant. Optic capture with a heparin-coated PMMA IOL proved to be a safe technique in the prevention of secondary cataract formation without a higher rate of complications and the necessity of vitrectomy.
Identifiants
pubmed: 34670945
doi: 10.1097/j.jcrs.0000000000000846
pii: 02158034-202207000-00013
doi:
Substances chimiques
Heparin
9005-49-6
Polymethyl Methacrylate
9011-14-7
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
831-837Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
Références
Kuhli-Hattenbach C, Fronius M, Kohnen T. Timing of congenital cataract surgery: amblyopia versus aphakic glaucoma. Ophthalmologe 2020;117:190–198
Khatib N, Tsumi E, Baidousi A, Nussinovitch H, Bilenko N, Lifshitz T, Levy J. Infantile cataract: comparison of two surgical approaches. Can J Ophthalmol 2017;52:527–532
Lin HT, Long EP, Chen JJ, Liu ZZ, Lin ZL, Cao QZ, Zhang XY, Wu XH, Wang QW, Lin DR, Li XY, Liu JC, Luo LX, Qu B, Chen WR, Liu YZ. Timing and approaches in congenital cataract surgery: a four-year, two-layer randomized controlled trial. Int J Ophthalmol 2017;10:1835–1843
Vasavada V. Paradigms for pediatric cataract surgery. Asia-Pacific J Ophthalmol 2018;7:123–127
Mohammadpour M, Shaabani A, Sahraian A, Momenaei B, Tayebi F, Bayat R, Mirshahi R. Updates on managements of pediatric cataract. J Curr Ophthalmol 2019;31:118–126
Nagamoto T, Oshika T, Fujikado T, Ishibashi T, Sato M, Kondo M, Kurosaka D, Azuma N. A survey of the surgical treatment of congenital and developmental cataracts in Japan. Jpn J Ophthalmol 2015;59:203–208
Self JE, Taylor R, Solebo AL, Biswas S, Parulekar M, Dev Borman A, Ashworth J, McClenaghan R, Abbott J, O'Flynn E, Hildebrand D, Lloyd IC. Cataract management in children: a review of the literature and current practice across five large UK centres. Eye 2020;34:2197–2218
Lambert SR, Lynn M, Drews-Botsch C, Loupe D, Plager DA, Medow NB, Wilson ME, Buckley EG, Drack AV, Fawcett SL. A comparison of grating visual acuity, strabismus, and reoperation outcomes among children with aphakia and pseudophakia after unilateral cataract surgery during the first six months of life. J AAPOS 2001;5:70–75
Trivedi RH, Wilson ME, Bartholomew LR, Lal G, Peterseim MM. Opacification of the visual axis after cataract surgery and single acrylic intraocular lens implantation in the first year of life. J AAPOS 2004;8:156–164
BenEzra D, Cohen E. Posterior capsulectomy in pediatric cataract surgery: the necessity of a choice. Ophthalmology 1997;104:2168–2174
Vasavada AR, Shah SK, Vasavada V. Management options in pediatric cataract. US Ophthalmic Rev 2012;5:44–47
Sen P, Kshetrapal M, Shah C, Mohan A, Jain E, Sen A. Posterior capsule opacification rate after phacoemulsification in pediatric cataract: hydrophilic versus hydrophobic intraocular lenses. J Cataract Refract Surg 2019;45:1380–1385
Negalur M, Sachdeva V, Neriyanuri S, Hasnat Ali M, Kekunnaya R. Long- term outcomes following primary intraocular lens implantation in infants younger than 6 months. Indian J Ophthalmol 2018;66:1088–1093
Vasavada A, Chauhan H. Intraocular lens implantation in infants with congenital cataracts. J Cataract Refract Surg 1994;20:592–598
Koch DD, Kohnen T. Retrospective comparison of techniques to prevent secondary cataract formation after posterior chamber intraocular lens implantation in infants and children. J Cataract Refract Surg 1997;23:657–663
Batur M, Gül A, Seven E, Can E, Yasar T. Posterior capsular opacification in preschool- and school-age patients after pediatric cataract surgery without posterior capsulotomy. Turk J Ophthalmol 2016;46:205–208
Vasavada AR, Praveen MR, Tassignon MJ, Shah SK, Vasavada VA, Vasavada VA, Van Looveren J, De Veuster I, Trivedi RH. Posterior capsule management in congenital cataract surgery. J Cataract Refract Surg 2011;37:173–193
Müllner-Eidenböck A, Amon M, Moser E, Kruger A, Abela C, Schlemmer Y, Zidek T. Morphological and functional results of AcrySof intraocular lens implantation in children: prospective randomized study of age-related surgical management. J Cataract Refract Surg 2003;29:285–293
Ram J, Brar GS, Kaushik S, Gupta A, Gupta A. Role of posterior capsulotomy with vitrectomy and intraocular lens design and material in reducing posterior capsule opacification after pediatric cataract surgery. J Cataract Refract Surg 2003;29:1579–1584
Zetterström C. Intraocular lens implantation in the pediatric eye. J Cataract Refract Surg 1997;23:599–600
Ellis FJ. Management of pediatric cataract and lens opacities. Curr Opin Ophthalmol 2002;13:33–37
Jensen AA, Basti S, Greenwald MJ, Mets MB. When may the posterior capsule be preserved in pediatric intraocular lens surgery? Ophthalmology 2002;109:324–327
Luo Y, Lu Y, Lu G, Wang M. Primary posterior capsulorhexis with anterior vitrectomy in preventing posterior capsule opacification in pediatric cataract microsurgery. Microsurgery 2008;28:113–116
Gimbel HV, DeBroff BM. Posterior capsulorhexis with optic capture: maintaining a clear visual axis after pediatric cataract surgery. J Cataract Refract Surg 1994;20:658–664
Gimbel HV. Posterior continuous curvilinear capsulorhexis and optic capture of the intraocular lens to prevent secondary opacification in pediatric cataract surgery. J Cataract Refract Surg 1997;23:652–656
Prajapati V, Shah K, Jain K. Postoperative outcomes of “optic capture” technique of IOL implantation in pediatric cataract surgery. Delhi J Ophthalmol 2019;29:23–25
Kaur S, Sukhija J, Ram J. Comparison of posterior optic capture of intraocular lens without vitrectomy vs endocapsular implantation with anterior vitrectomy in congenital cataract surgery: a randomized prospective study. Indian J Ophthalmol 2020;68:84–88
Cicik ME, Dogan C, Bölükbasi S, Cinhüseyinoğlu MN, Arslan OS. Comparison of two intraocular lens implantation techniques in pediatric cataract surgery in terms of postoperative complications. Balk Med J 2018;35:186–190
Cao K, Wang J, Zhang J, Yusufu M, Jin S, Hou S, Zhu G, Wang B, Xiong Y, Li J, Li X, Chai L, He H, Wan XH. Efficacy and safety of vitrectomy for congenital cataract surgery: a systematic review and meta- analysis based on randomized and controlled trials. Acta Ophthalmol. 2019;97:233–239
Vasavada AR, Vasavada V, Shah SK, Trivedi RH, Vasavada VA, Vasavada SA, Srivastava S, Sudhalkar A. Postoperative outcomes of intraocular lens implantation in the bag versus posterior optic capture in pediatric cataract surgery. J Cataract Refract Surg 2017;43:1177–1183
Buckley EG, Klombers LA, Seaber JH, Scalise-Gordy A, Minzter R. Management of the posterior capsule during pediatric intraocular lens implantation. Am J Ophthalmol 1993;115:722–728
Agarkar S, Gokhale VV, Raman R, Bhende M, Swaminathan G, Jain M. Incidence, risk factors, and outcomes of retinal detachment after pediatric cataract surgery. Ophthalmology 2018;125:36–42
Kirwan C, O'Keeffe M. Cystoid macular oedema in paediatric aphakia and pseudophakia. Br J Ophthalmol 2006;90:37–39
Rao SK, Ravishankar K, Sitalakshmi G, Ng JS, Yu C, Lam DS. Cystoid macular edema after pediatric intraocular lens implantation: fluorescein angioscopy results and literature review. J Cataract Refract Surg 2001;27:432–436
El-Meshad NM, Aly MG, Galal AS, Risk AA, Ismail ZF. Comparing the outcome of intraocular lens implantation with or without posterior optic capture in pediatric cataract surgery. J Egypt Ophthalmol Soc 2018;111:63–69
References 36–69 are listed in Supplemental Data File 1, http://links.lww.com/JRS/A498