Optic Capture Without Anterior Vitrectomy in Pediatric Cataract Surgery
Makaleler > Tam Makale · 2022
Yazarlar: Ali Devebacak, Elif Demirkilinc Biler, Cumali DEĞİRMENCİ, Onder Uretmen
AMERICAN JOURNAL OF OPHTHALMOLOGY, SCI İndekslerine Giren Dergi, Uluslararası, Wos, 2022, cilt 247, ss 88-95
DOI: 10.1016/j.ajo.2022.11.007
Özet
center dot PURPOSE: To compare outcomes of 2 surgical tech-niques in children undergoing cataract surgery with in-traocular lens (IOL) implantation: optic capture of IOL without anterior vitrectomy (AV) or in-the-bag IOL with AV.center dot DESIGN: Prospective randomized controlled trial.center dot METHODS: Patients were randomized to 2 groups: optic capture without AV (group 1) or in-the-bag implantation with AV (group 2). The following variables were com-pared: visual axis opacification (VAO), inflammatory de-posits on IOL surface, anteroposterior synechia, IOL tilt and decentration, lenticular astigmatism, refractive pre-diction error, and posterior segment complications.center dot RESULTS: Fifty-one eyes of 37 children were inves-tigated with a mean follow-up of 20.1 +/- 8.5 months. Group 1 and group 2 had mean ages of 59.2 +/- 32.6 and 46.5 +/- 21.9 months, respectively (P = .104). Three eyes in group 1 and 2 eyes in group 2 developed VAO (P = .656). Two eyes in group 1 and 5 eyes in group 2 developed anteroposterior synechia (P = .291). Six eyes in group 1 and 11 eyes in group 2 had inflamma-tory deposits on the IOL (P = .233). Both groups had similar IOL tilt and decentralization (for all meridians, P > .05). The absolute refractive prediction error was 0.55 +/- 0.34 diopter (D) and 0.53 +/- 0.3 D, respectively (P = .294). Each group had 1 eye with intraocular hy-pertension (P = .932).center dot CONCLUSION: The optic capture method was similar to the conventional technique in the quantitative evalu-ation of comprehensive data such as visual axis opacifi-cation, inflammatory sequelae, refractive outcomes, and IOL stability. The optic capture technique is an appeal-ing option for pediatric cataract surgery because it elimi-nates the requirement for vitrectomy. (Am J Ophthal-mol 2023;247: 88-95.(c) 2022 Elsevier Inc. All rights reserved.)