PURPOSE: To understand the current practice pattern for the surgical treatment of congenital/developmental cataracts in Japan. METHODS: A mail questionnaire was sent to facilities engaged in the surgical treatment of congenital cataracts in Japan. RESULTS: Thirty-four facilities reported their preferred methods for the surgical treatment of congenital cataracts, including data from 809 eyes of 508 patients who had undergone surgery. More than 85% of the respondents answered that they would consider surgery even if the visual prognosis was not promising because of possible form-deprivation amblyopia. The most commonly performed surgical maneuvers were scleral tunnel incision (88.4%), 3.0-mm or smaller incision (78.8%), manual anterior continuous curvilinear capsulorhexis (90.2% success rate), posterior capsulotomy (92.5% for patients aged ≤6 years), anterior vitrectomy by the limbal approach (85.9% for patients aged ≤6 years), and wound closure with sutures (93.2%). Posterior capsulotomy and vitrectomy were not usually performed in patients aged >6 years. Implantation of an intraocular lens (IOL) was mostly indicated in patients aged 2 years or older. Implantation of an acrylic foldable IOL (76.6%) into the capsular bag (89.7%) was the most common practice among the surgeons. CONCLUSIONS: Small incision surgery with implantation of an acrylic foldable IOL into the capsular bag combined with posterior capsulotomy was the preferred surgical treatment of choice for congenital/developmental cataracts.
PURPOSE: To understand the current practice pattern for the surgical treatment of congenital/developmental cataracts in Japan. METHODS: A mail questionnaire was sent to facilities engaged in the surgical treatment of congenital cataracts in Japan. RESULTS: Thirty-four facilities reported their preferred methods for the surgical treatment of congenital cataracts, including data from 809 eyes of 508 patients who had undergone surgery. More than 85% of the respondents answered that they would consider surgery even if the visual prognosis was not promising because of possible form-deprivation amblyopia. The most commonly performed surgical maneuvers were scleral tunnel incision (88.4%), 3.0-mm or smaller incision (78.8%), manual anterior continuous curvilinear capsulorhexis (90.2% success rate), posterior capsulotomy (92.5% for patients aged ≤6 years), anterior vitrectomy by the limbal approach (85.9% for patients aged ≤6 years), and wound closure with sutures (93.2%). Posterior capsulotomy and vitrectomy were not usually performed in patients aged >6 years. Implantation of an intraocular lens (IOL) was mostly indicated in patients aged 2 years or older. Implantation of an acrylic foldable IOL (76.6%) into the capsular bag (89.7%) was the most common practice among the surgeons. CONCLUSIONS: Small incision surgery with implantation of an acrylic foldable IOL into the capsular bag combined with posterior capsulotomy was the preferred surgical treatment of choice for congenital/developmental cataracts.
Authors: E Eugenie Hartmann; Ann U Stout; Michael J Lynn; Kimberly G Yen; Stacey J Kruger; Scott R Lambert Journal: Am J Ophthalmol Date: 2014-09-28 Impact factor: 5.258
Authors: David A Plager; Michael J Lynn; Edward G Buckley; M Edward Wilson; Scott R Lambert Journal: Am J Ophthalmol Date: 2014-07-29 Impact factor: 5.258
Authors: I C Lloyd; J G Dowler; A Kriss; L Speedwell; D A Thompson; I Russell-Eggitt; D Taylor Journal: Br J Ophthalmol Date: 1995-09 Impact factor: 4.638