Surgical approach to pediatric traumatic cataract

Abstract

Purpose: The aim of this study was o evaluate our surgical approach in children who were operated due to traumatic cataract in our clinic.Material and Methods: By using anterior vitrector, lensectomy was performed in pediatric patients who have traumatic cataract. The patients who have capsular support, the intraocular lens (IOL) was implanted in the capsular bag or in the sulcus and who do not have capsule support the IOL was implanted with sutureless intrascleral fixation method.Results: 21 eyes of 21 patients were included in the study. The mean age of the cases was 8.7 ±3.5 years. All of the cases had penetran injuries, and performed corneal suturation before due to the corneal perforation. Lensectomy was performed by using anterior vitrectomy probe in all patients. ln two patients, monoblock foldable IOL were implanted in the capsular bag, in 12 patients three-piece foldable IOL were implanted in the sulcus and in 4 patients three-piece foldable lens were implanted with intrascleral fixation. The combination of pars plana vitrectomy-lensectomy and three-piece foldable IOL implantation with intrascleral fixation were done in three patients because of retinal problem. Scleral tunnel was preferred to corneal tunnel for implantation of IOL.Conclusion: Lens capsule integrity was usually impaired in traumatic cataract cases. It may be not possible to do capsulorrhexis in these cases. Vitreous and fibrotic membrane are usually found in anterior chamber in these cases. It is considered that it is more appropriate to do lensectomy by using anterior vitrectomy probe instead of standard cataract surgery.