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S. Suzuki, T. Kageyama, M. Ayaki, S. Yaguchi; Long Term Observation of Pediatric Cataract Surgery with Optic Capture . Invest. Ophthalmol. Vis. Sci. 2003;44(13):187.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose:To report surgical results of pediatric cataract combined with posterior CCC (continuous curvilinear capsulorrhexis) and optic capture of IOL (intraocular lens). Methods:: From October 1995 to August 1997, four eyes of three cases underwent cataract aspiration and IOL implantation with optic capture at the age of five. All surgeries were performed by the same surgeon. Mean follow up period was 68.5 months, ranging from 64 to 74 months. Postoperative examination included visual acuity, refraction, intraocular pressure (IOP) and specular microscopy of corneal endothelium. Results:All cases maintained visual axis clarity. Visual acuity was 40/50 or better in three eyes and less than 20/200 in one eye due to amblyopia and mental retardation.One developed anterior capsule contraction requiring YAG laser capsulotomy.There were no other postoperative complications such as posterior synechia,IOL deviation,glaucoma or retinal detachment. Mean final IOP was 16.3mmHg.Mean refractive status after five years was 0±0.10D (-0.125~+0.125). Severe corneal endothelial cell loss was not observed in any cases. Conclusions:Based on our observation, optic capture had minimum long term complications and satisfactory optical clarity, although we could not find any benefits of this relatively difficult procedure compared with reported results of ordinary procedure with posterior CCC and anterior vitrectomy without optic capture.
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