Background & Objectives: Congenital cataract surgery is one of the complicated and difficult surgeries in ophthalmology. Its prevalance is one per 2000 live birth but it is one the main causes of blindness in children. This prevalence is even higher in underdeveloped countries (30 in 100000 cases). Lensectomy & vitrectomy by vitrectome device are the latest methods in this regard. The objective of this study was to evaluate the post-operative results of this method of surgery in patients operated because of congenital cataract.
Methods: After the diagnosis of the congenital cataract and primary examinations, the patients, in necessary cases, were examined under anesthesia and if possible, in all patients retinoscopy was conducted and intraocular presure was measured. If the examination of the retin was possible, the red reflex was determined. Then the patients were garded to D( absence of cloudy lens), 1( the presence of opacity up to 1 mm), 2A (the area of apaque part less than nonopaque area), 2B (the area of opaque part more than nonopaque area) and 3 ( complete opaqcity of lens). All of the patients were evaluated in two groups: first, only congenital cataract second cataract due to trauma.
Results: In the first group (with 24 patients and 33 eyes). 26 eyes (79%) had very good postoperative condition, 4 eyes (12%) had good condition and 3 eyes (9%) were nearly good. In the second group including 17 patients, 9 eyes (56%) were very good and 4 eyes (26%) good and 4 eyes (26%) moderate in terms of postoperative results, and none of them had poor results.
Conclusion: Because of the good surgical results of lensectomy and vitrectomy in congenital cataract and rapid visual acuity they are still methods of choice in congenital cataract surgery.
Masoumi R. Three-Year Evaluation of Post Operative Results in Congenital Cataract by Lensectomy Vitrectomy in Alavi Hospital. J Ardabil Univ Med Sci 2004; 4 (4) :58-62 URL: http://jarums.arums.ac.ir/article-1-463-en.html