25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract

AIM: To observe the clinical efficacy of 25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract.METHODS: This retrospective case series study included 55 eyes of 38 children with congenital cataract, age from 3mo to 5 years old, who were recruited between May 20...

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Autores principales:	Fu-Rong Liao, Lei Yang, Miao Zeng
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	congenital cataract 25g sutureless lensectomy best corrected visual acuity axial length Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/08290132ef6b42e2944f43eed73edc1a
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spelling	oai:doaj.org-article:08290132ef6b42e2944f43eed73edc1a2021-11-22T14:22:33Z25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract1672-512310.3980/j.issn.1672-5123.2021.12.30https://doaj.org/article/08290132ef6b42e2944f43eed73edc1a2021-12-01T00:00:00Zhttp://ies.ijo.cn/cn_publish/2021/12/202112030.pdfhttps://doaj.org/toc/1672-5123AIM: To observe the clinical efficacy of 25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract.METHODS: This retrospective case series study included 55 eyes of 38 children with congenital cataract, age from 3mo to 5 years old, who were recruited between May 2013 and August 2017. The children were divided into two groups according to the different surgical methods. Group A(25 eyes of 17 children)received a 25G sutureless lensectomy combined with capsulotomy and anterior vitrectomy, and group B(30 eyes of 21 children)received a cataract phacoemulsification combined with capsulotomy and anterior vitrectomy. The mean follow-up time was 43.4(range: 36-74)mo. The postoperative best corrected visual acuity(BCVA), axial length, and complications were compared. RESULTS: The age, sex distribution, duration, preoperative BCVA, and preoperative axial lengths were not significantly different between the two groups(P>0.05). The BCVA improved significantly at postoperative compared with BCVA at baseline in both gorups(Group A: P<0.001; Group B: P<0.001). The BCVA was better in Group A than Group B at 6mo postoperatively(P=0.043). No statistically significant difference was found in BCVA between the two groups at 12, 24 and 36mo after initial treatment(P=0.727, P=0.286, P=0.889). No statistically significant difference was found in axial lengths between 6mo of postoperation and preoperation in both groups(Group A: P=0.206, Group B: P=0.082). The mean postoperative axial lengths at 12, 24 and 36mo were longer than that at baseline in both group(Group A: P=0.023, P=0.015, P<0.01, Group B: P=0.018, P<0.01, P<0.01). There were no significantly different in mean axial length after operation between the two groups(6mo: P=0.195, 12mo: P=0.313, 24mo: P=0.485, 36mo: P=0.089). The rate of postoperative complications was lower in Group A than Group B(P=0.042).CONCLUSION: 25G sutureless lensectomy combined with capsulotomy and anterior vitrectomy is an effective and safe treatment method for congenital cataract, the visual acuity after treatment was improved significantly.Fu-Rong LiaoLei YangMiao ZengPress of International Journal of Ophthalmology (IJO PRESS)articlecongenital cataract25g sutureless lensectomybest corrected visual acuityaxial lengthOphthalmologyRE1-994ENGuoji Yanke Zazhi, Vol 21, Iss 12, Pp 2175-2178 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital cataract 25g sutureless lensectomy best corrected visual acuity axial length Ophthalmology RE1-994
spellingShingle	congenital cataract 25g sutureless lensectomy best corrected visual acuity axial length Ophthalmology RE1-994 Fu-Rong Liao Lei Yang Miao Zeng 25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract
description	AIM: To observe the clinical efficacy of 25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract.METHODS: This retrospective case series study included 55 eyes of 38 children with congenital cataract, age from 3mo to 5 years old, who were recruited between May 2013 and August 2017. The children were divided into two groups according to the different surgical methods. Group A(25 eyes of 17 children)received a 25G sutureless lensectomy combined with capsulotomy and anterior vitrectomy, and group B(30 eyes of 21 children)received a cataract phacoemulsification combined with capsulotomy and anterior vitrectomy. The mean follow-up time was 43.4(range: 36-74)mo. The postoperative best corrected visual acuity(BCVA), axial length, and complications were compared. RESULTS: The age, sex distribution, duration, preoperative BCVA, and preoperative axial lengths were not significantly different between the two groups(P>0.05). The BCVA improved significantly at postoperative compared with BCVA at baseline in both gorups(Group A: P<0.001; Group B: P<0.001). The BCVA was better in Group A than Group B at 6mo postoperatively(P=0.043). No statistically significant difference was found in BCVA between the two groups at 12, 24 and 36mo after initial treatment(P=0.727, P=0.286, P=0.889). No statistically significant difference was found in axial lengths between 6mo of postoperation and preoperation in both groups(Group A: P=0.206, Group B: P=0.082). The mean postoperative axial lengths at 12, 24 and 36mo were longer than that at baseline in both group(Group A: P=0.023, P=0.015, P<0.01, Group B: P=0.018, P<0.01, P<0.01). There were no significantly different in mean axial length after operation between the two groups(6mo: P=0.195, 12mo: P=0.313, 24mo: P=0.485, 36mo: P=0.089). The rate of postoperative complications was lower in Group A than Group B(P=0.042).CONCLUSION: 25G sutureless lensectomy combined with capsulotomy and anterior vitrectomy is an effective and safe treatment method for congenital cataract, the visual acuity after treatment was improved significantly.
format	article
author	Fu-Rong Liao Lei Yang Miao Zeng
author_facet	Fu-Rong Liao Lei Yang Miao Zeng
author_sort	Fu-Rong Liao
title	25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract
title_short	25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract
title_full	25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract
title_fullStr	25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract
title_full_unstemmed	25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract
title_sort	25g lens resection combined with anterior vitrectomy in the treatment of congenital cataract
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/08290132ef6b42e2944f43eed73edc1a
work_keys_str_mv	AT furongliao 25glensresectioncombinedwithanteriorvitrectomyinthetreatmentofcongenitalcataract AT leiyang 25glensresectioncombinedwithanteriorvitrectomyinthetreatmentofcongenitalcataract AT miaozeng 25glensresectioncombinedwithanteriorvitrectomyinthetreatmentofcongenitalcataract
_version_	1718417535431344128

25G lens resection combined with anterior vitrectomy in the treatment of congenital cataract

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