NR 5/2003
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Wyniki operacji zaćmy z wszczepem sztucznej
soczewki u dzieci w wieku od 17 miesięcy do 8 lat
Results of cataract extraction with IOL implantation
in children aged 17 months to 8 years old
Józef Kałużny, Aleksandra Koszewska-Kołodziejczak, Jakub J. Kałużny
Z Kliniki Okulistycznej Akademii Medycznej w Bydgoszczy
Kierownik: prof. dr hab. n. med. Józef Kałużny |
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| Summary: |
Purpose: To evaluate anatomical and
functional results of cataract extraction and IOL implantation, together with posterior
capsulectomy and anterior vitrectomy in children. Materials and methods:
Cataract extraction and IOL implantation with posterior capsulectomy and anterior
vitrectomy was performed in 32 eyes of children between 17 months and 8 years old.
Patients were followed up for a mean period 36 months (from 6 months to 5,5 years).
Results: Good anatomical results were achieved in all, except 2 cases.
One eye required removal of opacifications located posterior to the IOL. In the second eye
membrane from the anterior surface of the lens were excised. Final postoperative visual
acuity in eyes with bilateral cataract was 0,59, whereas in unilateral cataract 0,25. Half
of the children with bilateral cataract has significantly worse BCVA in one eye.
Conclusions: Cataract extraction and IOL implantation with posterior
capsulectomy and anterior vitrectomy in young children gives good anatomical results.
Functional results are better in bilateral congenital cataract, comparing to unilateral
cases. To achieve good functional results, visual rehabilitation is necessary. |
| Słowa kluczowe: |
dzieci, wiek: 17 miesięcy - 8 lat, operacja zaćmy,
wszczep soczewki. |
| Key words: |
children, age: 17 months -8 years, cataract surgery, PC IOL
implantation. |
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