Analysis of surgical outcomes of congenital cataract treated with different surgical approaches and minimally invasive techniques
10.3980/j.issn.1672-5123.2025.5.15
- VernacularTitle:不同手术入路和微创技术治疗先天性白内障的手术效果分析
- Author:
Weijie ZHANG
1
;
Hong YAN
1
;
Jian ZHANG
1
Author Information
1. Xi'an Medical University, Xi'an 710021, Shaanxi Province, China
- Publication Type:Journal Article
- Keywords:
congenital cataract;
surgical approach;
minimally invasive vitrectomy system;
surgical complications
- From:
International Eye Science
2025;25(5):775-780
- CountryChina
- Language:Chinese
-
Abstract:
Congenital cataract is a leading cause of childhood blindness worldwide. By inducing visual impairment from birth, it disrupts the normal development of the visual system and profoundly impacts patients' quality of life. Therefore, timely diagnosis and the implementation of effective, safe interventions, particularly during the critical period of visual development, are of paramount clinical importance. Cataract extraction is a cornerstone therapeutic intervention. The success of the surgery, as well as postoperative visual recovery and the incidence of complications in pediatric patients, largely depends on the selected surgical approach and instrumentation. Surgical approaches are primarily categorized into the anterior approach(via corneal or limbal incision)and the posterior approach(via pars plana). Surgical instruments are typically classified by the gauge of the vitreous cutter, such as 20 G, 23 G, and 25 G. The choice of surgical approach not only directly influences the incidence of postoperative complications but also significantly impacts visual recovery. This article reviews and analyzes these critical aspects to provide valuable guidance for clinical practice.
