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Ultrasound Cyclo Plasty in Eyes with Glaucoma
05:05

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Published on: January 26, 2018

Simultaneous bilateral intraocular surgery in children.

Sudha Nallasamy1, Stefanie L Davidson, Ivy Kuhn

  • 1Scheie Eye Institute, Philadelphia, Pennsylvania, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 16, 2010
PubMed
Summary
This summary is machine-generated.

Simultaneous bilateral intraocular surgery (SBIS) in children for cataracts or glaucoma was safely performed in 48 cases over 15 years. This approach may reduce anesthesia risks and surgical delays in pediatric patients.

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Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Simultaneous bilateral intraocular surgery (SBIS) is controversial due to concerns about catastrophic complications.
  • Ophthalmologists express reluctance to perform SBIS, fearing risks like endophthalmitis, expulsive hemorrhage, or retinal detachment.

Purpose of the Study:

  • To report on the safety and outcomes of SBIS in pediatric patients.
  • To review the literature on SBIS in children undergoing cataract or glaucoma surgery.

Main Methods:

  • A retrospective review of 48 SBIS cases in 44 pediatric patients between 1994 and 2009.
  • Procedures included bilateral cataract extractions (27 cases) and bilateral glaucoma surgeries (21 cases) under general anesthesia with strict aseptic technique.

Main Results:

  • SBIS was performed on infants, primarily those under one year old, for cataracts and glaucoma.
  • Postoperative complications included aphakic glaucoma and lens reproliferation; one case of hyphema occurred.
  • No catastrophic surgical or anesthetic complications were observed in any of the 48 cases.

Conclusions:

  • SBIS was performed safely in 48 pediatric cases over a 15-year period.
  • In selected pediatric cases, SBIS for bilateral cataracts or glaucoma can be a safe and effective option.
  • SBIS may mitigate risks associated with repeated anesthesia exposure and surgical delays in pediatric patients.