Femtosecond laser assisted phacoemulsification combined with anterior vitrectomy for the treatment of pediatric cataract
10.3980/j.issn.1672-5123.2023.12.26
- VernacularTitle:飞秒激光辅助白内障超声乳化联合前段玻璃体切除术治疗儿童白内障
- Author:
Shu-Yu ZHAO
1
;
Jin-Xian HE
1
;
Yan-Chun WU
1
;
Xian-Jun LIANG
1
Author Information
1. Foshan Aier Eye Hospital, Foshan 528000, Guangdong Province, China
- Publication Type:Journal Article
- Keywords:
pediatric cataract;
femtosecond laser assisted phacoemulsification;
anterior vitrectomy
- From:
International Eye Science
2023;23(12):2077-2080
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To observe the clinical outcomes of femtosecond laser-assisted cataract phacoemulsification combined with anterior vitrectomy in the treatment of pediatric cataracts.METHODS: Retrospective study. A total of 10 patients(17 eyes)diagnosed as pediatric cataract in Foshan Aier Eye Hospital from January 2021 to September 2022 were collected, including 5 males(9 eyes)and 5 females(8 eyes), with an age of 3～9(4.50±1.20)years old. All children underwent femtosecond laser assisted phacoemulsification combined with anterior vitrectomy. The visual acuity, intraocular pressure and pigment deposits of intraocular lens(IOL)surface, synechia and hyperplasia of posterior capsule lens at 1wk, 1 and 6mo postoperatively were observed during the 6mo follow-up.RESULTS: All surgical procedures were successful, and there was no serious complication intraoperatively or postoperatively. BCVA(LogMAR)was 0.63±0.18 preoperatively and 0.42±0.10, 0.32±0.09, and 0.22±0.08 at 1wk, 1 and 6mo postoperatively(all P<0.001). There was no difference in the comparison of intraocular pressure at different times of surgery(P=0.125). There was no statistically significant difference in the incidence of IOL surface pigment deposits, synechia, and posterior capsule lens hyperplasia at different times after surgery(P>0.05). The incidence of IOL surface pigment deposits at 1wk, 1 and 6mo after surgery was 3 eyes(18%), 1 eye(6%), and 1 eye(6%), respectively, the incidence of synechia was 0 eye, 1 eye(6%), 2 eyes(12%), and the incidence of posterior capsule lens hyperplasia was 0 eye, 0 eye, and 2 eyes(12%), respectively.CONCLUSION: Femtosecond laser-assisted cataract phacoemulsification combined with vitrectomy for the removal of the anterior vitreous can effectively prevent anterior capsular tear and the occurrence of posterior capsule opacification.
