Pediatric cataract surgery with hydrophilic acrylic intraocular lens implantation in Nepalese children

Adhikari, Srijana; Shrestha, Ujjowala Devi

doi:10.1016/j.jaapos.2016.07.099

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…One month after surgery shows good results; best visual acuity of 0.8, anterior chamber looks stable and IOL is positioned centrally. [14][15][16][17] Traumatic cataract in children has a better prognosis compared to unilateral congenital cataract. Post-operative visual acuity is highly dependent on the age in which the trauma happened, the onset of cataract and the presence of other ocular complications.…”

Section: The Best Treatment Of Traumatic Cataract With An Open Globe ...mentioning

confidence: 99%

Management of Pediatric Traumatic Cataract With An Open Globe Injury

Mulja¹,

Wahyu²,

Irfani³

et al. 2023

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Introduction: Traumatic cataract is one of the leading causes of monocular blindness in children. The management of pediatric traumatic cataract is challenging; the growing size of the affected eyes and the risk of amblyopia further complicate things. The timing of cataract removal and IOL implantation remain controversial until today. Case Report: A thirteen-years-old boy came with his left eye punctured by a pencil tip. He came in with a visual acuity of 1/300, a full-thickness 5 mm paracentral corneal laceration and traumatic cataract. The patient went through a two-step surgery. Cataract surgery and IOL implantation was conducted one week following corneal laceration suture. Discussion: Two-step surgery was performed on this patient with consideration being cataract removal performed when the inflammation of the eye was subside and also a more accurate IOL calculation. One study stated, even with 43.4% of patient’s anterior capsule ruptures, it would postponed cataract surgery for 2 days up to 6 months. In this case, a week after first surgery, it revealed anterior capsule rupture and the lens material was touching corneal endothelium. Therefore, lensectomy was performed because it touches the corneal endothelium causing further damage Conclusion: The two-step procedure performed was a preferable surgery for a traumatic cataract in a quiet eye, because it has better potential for visual improvement and IOL calculation. However, since the anterior lens capsule ruptured and the lens material prolapsed into the anterior chamber, it would have been even better to perform lensectomy as an early procedure to prevent inflammation.

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Section: The Best Treatment Of Traumatic Cataract With An Open Globe ...mentioning

confidence: 99%

Management of Pediatric Traumatic Cataract With An Open Globe Injury

Mulja¹,

Wahyu²,

Irfani³

et al. 2023

View full text Add to dashboard Cite

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“…IFIS reduction was significant, especially for mild forms. 16 Epinephrine has dual effects to contract the dilator musculature by its α-receptor actions and relax the sphincter by a β effect, resulting in mydriasis. 24 Epinephrine works directly by displacing tamsulosin, while atropine acts indirectly by inhibition of iris constrictor muscle activity.…”

Section: Summary Of Evidencementioning

confidence: 99%

“…This may explain the lower efficacy of atropine compared to epinephrine. 16 There were only 2 observational studies that are included in this review. Chen et al reported that intracameral lidocaine-epinephrine did not reduce IFIS incidence significantly.…”

Section: Summary Of Evidencementioning

confidence: 99%

Prophylaxis Pharmacological Management for Patients with Intraoperative Floppy Iris Syndrome Risk Due to ?1-Adrenergic Receptor Antagonists Use

Budihardja

Cempakadewi

2023

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Introduction: Intraoperative floppy iris syndrome (IFIS) remains a challenge that increases the risk of complications in patients undergoing cataract surgery who use ?1-adrenergic receptor antagonists. To date, no definite consensus on a preventive strategy for IFIS is available. The aim of this review is to assess various pharmacological managements to prevent IFIS in high-risk patients. Methods: This review was based on Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines. A systematic search using PubMed, Science Direct, Cochrane Library, and WorldCat database was performed. Quality of each study was evaluated using Cochrane Risk of Bias 2.0 (RoB 2.0), Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I), or Newcastle- Ottawa Scale (NOS). Results: The search identified 1589 articles of which 7 met the eligibility criteria. Experimental and observational studies between 2010 and 2018 were included. Pharmacological managements included in this review are administered in varying routes. Phenylephrine, lidocaine, a combination of lidocaine and epinephrine are given intracamerally. Other pharmacological managements included are sub-tenon injection of lidocaine, topical atropine, a combination of topical atropine with intracameral epinephrine, combined irrigation solution of phenylephrine and ketorolac, and mydriatic cocktail- soaked wick sponges. Conclusion: Various pharmacological managements for IFIS prophylaxis have shown promising potential. However, studies that evaluate the efficacy of each agent and comparison between these strategies are still limited. Further research is needed to determine the best prophylaxis strategy to reduce the incidence of IFIS.

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“…Acrylic lenses have been proven to have lower rates of posterior capsule opacification (PCO) when compared to silicone or polymethylmethacrylate (PMMA) IOL in children [46][47] , which indicates the better material biocompatibility of acrylic lenses. Both hydrophilic and hydrophobic acrylic IOLs have been reported to have good outcomes in children [48][49] although no controlled trial has been conducted. In terms of design, single-piece acrylic lenses seem to be superior to three-piece acrylic lenses in the rates of perioperative and postoperative complications [50] .…”

Section: Challenges Of Iol Implantation Decision Of Choosing Iol Powe...mentioning

confidence: 99%

Commentary review: challenges of intraocular lens implantation for congenital cataract infants

Zhao

2021

Int J Ophthalmol

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As an indispensable part of congenital cataract surgery, intraocular lens (IOL) implantation in infantile patients has long-term positive impacts on visual rehabilitation, as well as postoperative complications inevitably. Timing of IOL implantation in infantile congenital cataract patients is not simply a point-in-time but a personalized decision that comprehensively takes age at surgery, risks of postoperative complications, and economic condition of family in consideration, and combines with choosing suitable IOL type and power. For infants with well-developed eyeballs and good systemic conditions, IOL implantation at six months of age or older is safe and effective. Otherwise, secondary IOL implantation may be a safer choice.

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Pediatric cataract surgery with hydrophilic acrylic intraocular lens implantation in Nepalese children

Cited by 4 publications

References 18 publications

Management of Pediatric Traumatic Cataract With An Open Globe Injury

Management of Pediatric Traumatic Cataract With An Open Globe Injury

Prophylaxis Pharmacological Management for Patients with Intraoperative Floppy Iris Syndrome Risk Due to ?1-Adrenergic Receptor Antagonists Use

Commentary review: challenges of intraocular lens implantation for congenital cataract infants

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