الفهرس | Only 14 pages are availabe for public view |
Abstract In this study the aim was to record the postoperative complications of primary intraocular lens implantation and visual results in children. This study was carried out on 30 eyes of 28 children. 25 males and 5 females. The age of children ranged between 4 to 12 years old and composed of 23 eyes with traumatic cataract, 4 eyes with developmental cataract and 3 eyes with complicated cataract. 2 of them were bilateral . Full ophthalmological examination was carried out to all patients including: Visual acuity, slit lamp biomicroscopy, ultrasound to evaluate the posterior segment and biometry in older children (above 8 years) . Limbal approach technique of irrigation / aspiration , posterior chamber introcular lens implantation, follow up was done for 6 months and postoperative complications were recorded. Iridocyclitis was the most common complication which occurred in 100% of cases but 76.7% were mild to moderate and severe iridocyclitis with fibrinous exudate occured in 23.3% and mostly in younger age (below 6 years). * Opacified posterior capsule was in 15 eyes (50%) of cases after 6 months follow up. 49 Suniiitary * Post synehiae in 36.330/0 of cases. * IOL malposition in 4 cases (13.3%). * Increased ocular tension in 96.7% of cases, but most of cases return to normal within the first three weeks with frequent topical steroids and short course of steroidal and non steroidal antiinflammatory drugs. Visual acuity improved postoperatively, this can be attributed to the clear visual axis postoperatively and conection of residual spher and / or cylinder en or with spectacles. But some cases shows little improvement than other, this may be related to the age of the child at the time of cataract formation, the interval between its development, removal and rehabilitation and significant opacified posterior capsule. |