Surgical Outcome of Congenital Cataract in Eyes With Microcornea

Matalia, Jyoti; Shirke, Sheetal; Shetty, K Bhujang; Matalia, Himanshu

doi:10.3928/01913913-20170703-13

Cited by 6 publications

(7 citation statements)

References 27 publications

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“…Details on visual acuity and surgical complications have been meticulously reported in previous studies of cataract removal in eyes with MC; hence, corneal properties were the focus of this study. 8,32,33 In conclusion, our study revealed that the patients with MC and normal axial length possess specific parameters, including significantly smaller corneal diameter and thicker CCT than the patients in the control groups. There were no significant differences in ECD and average keratometry.…”

Section: Discussionmentioning

confidence: 52%

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Corneal Biometric Parameters and Refractive Properties in Microcornea With Normal Axial Length

Jiang

Wang²,

Chen³

et al. 2021

Cornea

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Purpose:The purpose of this study was to evaluate the features of and relationships among corneal diameter, central corneal thickness (CCT), endothelial cell density (ECD), and corneal refractive properties in cases of microcornea (MC) with normal axial length.Methods:We included 22 patients (35 eyes) with MC and cataracts and 41 patients (48 eyes) with isolated cataracts as age-matched controls. They were divided into patients with MC younger than 18 years (MC-child), patients with MC 18 years or older (MC-adult), children with congenital cataracts (CCs), and adults with senile cataracts (SCs). Corneal diameter, axial and anterior chamber length, and keratometry were measured; central corneal endothelial cell imaging was performed.Results:The mean horizontal corneal diameter was 7.71 ± 1.51 and 8.78 ± 0.52 mm in MC-child and MC-adult groups, respectively, and 11.89 ± 0.59 and 11.52 ± 2.42 mm in child and adult controls, respectively. The mean CCT was 641.26 ± 63.37 (MC-child) and 617.38 ± 45.40 mm (MC-adult), and 554.92 ± 34.64 (CC) and 551.58 ± 28.47 mm (SC). The mean ECD was 2898.47 ± 443.90 (MC-child) and 2825.81 ± 484.65 cells/mm2 (MC-adult), and 3155.13 ± 372.67 (CC) and 2749.33 ± 399.63 cells/mm2 (SC). The average keratometry was 44.22 ± 3.14 D (MC-child) and 43.86 ± 2.59 D (MC-adult), and 44.19 ± 1.44 D (CC) and 43.94 ± 1.34 D (SC).Conclusions:Patients with MC and normal axial length possess specific parameters, including significantly smaller corneal diameter and thicker CCT than the patients in the control groups. There were no significant differences in ECD and average keratometry. These parameters should be taken into account in the follow-up and treatment.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Corneal Biometric Parameters and Refractive Properties in Microcornea With Normal Axial Length

Jiang

Wang²,

Chen³

et al. 2021

Cornea

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“…Increased IOP as an early sign of glaucoma often arise especially in one year postoperatively. 9 Although IOP rise was not found in this case, nevertheless routine followup is required and important to monitor IOP.…”

Section: Discussionmentioning

confidence: 70%

“…However, the use of posterior chamber IOL was considered as a safe technique. 9 In this case, on follow up examinations showed good IOP results and the patient was planned to have a periodically visit schedule. Patients were also given glasses to maximize visual acuity on the RE.…”

Section: Discussionmentioning

confidence: 85%

Successful Management of Complex Congenital Cataract and Its Complication: A Case Report

Yulia

Harniza

Amanda

2023

ejki

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Management of cataract and its complication after surgery in a child with complex congenital cataract where accompanied by other ocular abnormality can pose a great surgical challenge. This case report described a case of an 18-year-old girl with slowly decreasing vision after undergoing surgery charity on the right eye (RE) around 4 months ago due to cataract which she had since birth. Best corrected visual acuity (BCVA) preoperatively of the RE and LE was 6/60 and 0,5/60 respectively. Ocular assessment was pseudophakia with Posterior Capsular Opacity (PCO) on the RE and cataract on the left eye (LE) accompanied by microcornea, nystagmus and coloboma of iris and retina on both eyes. Secondary posterior capsulotomy surgery was done on the RE and cataract extraction, Primary Posterior Capsulotomy (PPC) on the LE with Anterior Vitrectomy (AV) on both eyes. Last follow-up postoperatively showed a significant improvement of uncorrected visual acuity on her RE from 0.5/60 preoperatively to 6/30, meanwhile only subjective improvement of VA was found on her LE. This case can achieve visual improvement with promptly surgical treatment without complication and routine monitoring still needs to be done.

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“…38 Matalaia et al found a rate of 10.6% of secondary glaucoma in those with microcornea, with incidence not significantly different between early and late age at surgery. 39 The IATS found smaller corneal diameter to be an independent risk factor for all glaucoma-related adverse events, 6,34 as did Swamy et al in 2007. 8…”

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confidence: 81%

Prevalence of Glaucoma Following Paediatric Cataract Surgery in an Australian Tertiary Referral Centre

Wood,

Lim,

Matthews

et al. 2023

OPTH

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Secondary glaucoma following childhood cataract surgery remains the most common complication in the paediatric population. This study aimed to determine the incidence, time to progression and risk factors associated with the development of secondary glaucoma following childhood cataract surgery in a paediatric population. Outcome measures were the detection of secondary glaucoma, postoperative time frame to development of glaucoma and risk factors in its development. Patients and Methods: A retrospective case series was conducted between 2003 and 2017 at a tertiary children's hospital in Sydney. The patient population included those 16 years or less of age who underwent congenital cataract extraction, with or without an intraocular lens implantation and who had been followed up for a minimum of six months following surgery. Patients were excluded if they had cataract aetiology other than congenital idiopathic cataract. Multivariate Cox Regression analysis was used to determine relevant risk factors. Results: A total of 320 eyes in 216 patients were included in the study. Secondary glaucoma developed in 11.9% of eyes. In those that developed secondary glaucoma, the average time to onset from surgery was 3.2 years (median 2.75 years). The mean age of diagnosis of secondary glaucoma was 4.58 years (median 3.5 years, range 2.5 months to 13.23 years). Microcornea was the only adverse characteristic significantly associated with an increased risk of secondary glaucoma (HR 6.30, p 0.003). Conclusion: Despite modern surgical techniques, glaucoma remains a significant long-term sequela in children following cataract surgery.

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Surgical Outcome of Congenital Cataract in Eyes With Microcornea

Abstract: Early surgical intervention for congenital cataract in eyes with microcornea can result in favorable outcomes with an acceptable rate of postoperative complications. [J Pediatr Ophthalmol Strabismus. 2018;55(1):30-36.].

Cited by 6 publications

References 27 publications

Corneal Biometric Parameters and Refractive Properties in Microcornea With Normal Axial Length

Corneal Biometric Parameters and Refractive Properties in Microcornea With Normal Axial Length

Successful Management of Complex Congenital Cataract and Its Complication: A Case Report

Prevalence of Glaucoma Following Paediatric Cataract Surgery in an Australian Tertiary Referral Centre

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