Abstract

MACHIN PEREZ, Jacqueline et al. Minor Incision pediatric cataract surgery. ccm [online]. 2018, vol.22, n.4, pp. 618-633. ISSN 1560-4381.

Introduction: congenital and infant cataracts are a threat for children visual development because this can mainly be inhibited or stopped and it also requires a complicated treatment. Objective: to evaluate anatomic and visual results of infant cataracts surgeries by self-sealant corneal incision. Method: a transversal study which universe was composed by 19 children (24 eyes) suffering from congenital or infants cataracts, who were operated at the Pediatric Hospital of Holguín, during 2016 to 2017, was carried out. Some variables like: age, sex, etiology, pre and postsurgical visual sharpness in the first 3 months, surgical techniques, induced astigmatism, transparency preservation corneal curve and possible complications, were evaluated. Results: ages from 3 to 8 years prevailed up to 47.4%, as well as males with 79% and congenital etiology with a 50%. Pre-surgical visual sharpness was in the range of PL- 0.1 representing the 50%, while post- surgical was between 0.7- 1.0 in 62.5% of the cases. Surgical technique was the self-sealant small incision in 75%. Induced astigmatism was low, less than 1D. Corneal transparency was obtained 100%, and the corneal curvature had minor variations (≤0.50D) in 62.5% of the cases. Most frequent complications were posterior capsule dullness (50%) and the anterior uveitis (37.5%). Conclusions: the use of the small self-sealant corneal incision in the infant cataracts surgery guarantees good anatomic and visual outcomes.

Keywords : cataract; infant; self-sealant incision.

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