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E. L. Bui Quoc; Complications and Number of Surgical Procedures in Cataract Surgery in Infants. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5287.
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Cataract surgery in infants is at risk of several surgical complications: inflammatory adverse reaction inducing fibrosis, capsular retraction, secondary cataract. Glaucoma can occur. Through a retrospective study of surgical procedures between 2005 and 2008, we evaluate the frequency of such complications and their risk factors.
Fifty six eyes of thirty eight patients were operated of congenital cataract during a three year period, through a sclero corneal anterior wound and anterior vitrectomy in children under 5 years old. A hydrophobic acrylic IOL was implanted in all cases but three. Mean age at the age of surgery was 25 months (1-162 months), 46 eyes out of 56 being operated before the age of 2 years old, and 44 being operated before the age of one year old i.e. 78.6%.
The mean number of complication requiring another surgical procedure was 1.55 (1 to 8) : secondary cataract, fibrosis, glaucoma, removal of the IOL.
No matter of the size of the surgical wound or the position of the IOL in the bag or in the sulcus, frequent surgical complications can occur in the surgery of cataract in children. The age seem to be the main risk factor, surgical complications occurring more often in younger patients. Cataract surgery in infants remain difficult because of the higher frequency of surgical complications which are not easy to predict and to treat.
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