Comparison of two different surgical ways on congenital cataract
10.3980/j.issn.1672-5123.2014.07.40
- VernacularTitle:两种手术方式治疗先天性白内障的疗效比较
- Author:
Le-Qiang, WEI
- Publication Type:Journal Article
- Keywords:
posterior curvilinear capsulorhexis;
anterior vitrectomy;
congenital cataract
- From:
International Eye Science
2014;(7):1316-1318
- CountryChina
- Language:Chinese
-
Abstract:
AlM: To compare the clinical effects of two different surgical ways on congenital cataract.
METHODS: We selected 52 children ( 84 eyes ) with congenital cataract surgery between December 2009 and December 2012 in our hospital. They were divided into two groups based on the surgical way: A group were treated by phacoemulsification + posterior curvilinear capsulorhexis, B group were treated by phacoemulsification+posterior curvilinear capsulorhexis+anterior vitrectomy. The follow-up was 6-12mo, and postoperative corrected visual acuity and complications were observed.
RESULTS: Postoperative visual acuity of two groups were increased ( P< 0. 05 ). Preoperative visual acuity between two groups had no significant difference ( P>0. 05 ) , while postoperative visual acuity between two groups had significant difference (P<0. 05), group B was better than group A. Complications had no significant difference between two groups except posterior capsule opacification (PCO) (P<0. 05). The incidence rate of PCO in group B (12%) was far lower than group A (53%).
CONCLUSlON: Compare with phacoemulsification +posterior curvilinear capsulorhexis, the way combined with anterior vitrectomy can improve the postoperative visual acuity and decrease the incidence rate of PCO.