•  
  •  
 

Subject Area

Ophthalmology

Article Type

Original Study

Abstract

Objective A pilot study was conducted to compare the efficacy and safety of limbus versus pars plana approach for the surgical treatment of congenital cataract. Background Bilateral congenital cataract is a common cause of amblyopia, and the surgical treatment is challenging. Patients and methods A pilot study was conducted on children under the age of 2 years with bilateral congenital cataract, stratified into anterior (limbus group) and posterior (pars plana group) surgery approaches. Safety and efficacy were assessed, as well as intraoperative surgeon comments on the ease and feasibility of either technique. Results The study enrolled 34 children with bilateral congenital cataract. The average age of presentation in either group was about 7 months (P = 0.23). The mean ± SD of the duration of surgery was 9.8 ± 0.9 (8–12) and 16.5 ± 3.3 (10–25) min (P < 0.001) in the limbus and the pars plana groups, respectively. The surgeon did not note any specific technical difficulty or negative comments in either group. In the pars plana group, one (2.9%) eye demonstrated intraoperative bleeding (trickle into the vitreous that resolved spontaneously after 2 weeks with no untoward sequelae). In the limbus group, one (2.9%) eye developed secondary glaucoma and one (2.9%) eye developed capsular phimosis. In the pars plana group, one (2.9%) eye developed secondary glaucoma and one (2.9%) eye developed posterior capsule opacification. Conclusions Both approaches were effective and safe for congenital cataract in the first 2 years of life, with the limbus approach being significantly shorter and potentially more advantageous.

Download

Share

COinS