Completion rates of anterior and posterior continuous curvilinear capsulorrhexis in pediatric cataract surgery for surgery performed by trainee surgeons with the use of a low-cost viscoelastic

Completion rates of anterior and posterior continuous curvilinear capsulorrhexis in pediatric cataract surgery for surgery performed by trainee surgeons with the use of a low-cost viscoelastic

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Context : Pediatric cataract surgery is traditionally done with the aid of high-molecular-weight viscoelastics which are expensive. It needs to be determined if low-cost substitutes are just as successful. Aims : The study aims to determine the success rates for anterior and posterior capsulorrhexis...

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Bibliographic Details
Main Authors: R Muralidhar, G S Siddalinga Swamy, P Vijayalakshmi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Orbit
proptosis
thyroid
Hyperhomocysteinemia
retinal arterial occlusions
systemic associations
young age
Illumination
letter charts
visual acuity
Dacryocystorhinostomy
intraocular pressure
systemic effects
timolol maleate
Accommodation
dynamic retinoscopy
ophthalmoscopy
photorefraction
photoretinoscopy
Apoptosis
corneal epithelium
formulation
sphingosine-1 phosphate
Digital camera
external photograph
photography
Android
eye handbook
iPhone
smart phone
testing tools
Anterior chamber intraocular lens
gyrate atrophy
posterior dislocation of intraocular lens
psuedophakia
Conjunctival ulcer
conjunctivitis
Stenotrophomonas maltophilia
Adrenergic blocker
imipramine
intraoperative floppy iris syndrome
iris hooks
phacoemulsification
Corneal ectasia
deep anterior lamellar keratoplasty
hexagonal keratotomy
hyperopia
Intravitreal triamcinolone acetonide
retinochoroiditis
toxoplasmosis
Capsulorrhexis
completion rates
pediatric cataract surgery
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=2;spage=144;epage=146;aulast=Muralidhar
Description
Summary:Context : Pediatric cataract surgery is traditionally done with the aid of high-molecular-weight viscoelastics which are expensive. It needs to be determined if low-cost substitutes are just as successful. Aims : The study aims to determine the success rates for anterior and posterior capsulorrhexis and intraocular lens (IOL) implantation in the bag for pediatric cataract surgery performed with the aid of a low-molecular-weight viscoelastic. Settings and Design : Nonrandomized observational study. Materials and Methods: Children less than 6 years of age who underwent cataract surgery with IOL implantation in the period May 2008-May 2009 were included. The surgeries were done by pediatric ophthalmology fellows. A standard procedure of anterior capsulorrhexis, lens aspiration with primary posterior capsulorrhexis, anterior vitrectomy, and IOL implantation was followed. Three parameters were studied: successful completion of anterior and posterior capsulorrhexis and IOL implantation in the bag. Results: 33 eyes of 28 children were studied. The success rate for completion was 66.7% and 88.2 % for anterior and posterior capsulorrhexis, respectively. IOL implantation in the bag was successful in 87.9%. Conclusions: 2% hydroxypropylmethylcellulose is a viable low-cost alternative to more expensive options similar to high-molecular-weight viscoelastics. This is of great relevance to hospitals in developing countries.
ISSN:0301-4738
1998-3689

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