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[Secondary cataract in aphakic children (author's transl)]
Klinische Monatsblatter Fur Augenheilkunde
|June 1, 1980
Summary
Secondary cataract is an expected outcome following extracapsular cataract extraction, especially in infants. Posterior capsulotomy during the initial surgery can help maintain clear optic media, but a second operation for secondary cataract is often necessary.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- Extracapsular cataract extraction in children frequently results in secondary cataract formation.
- Congenital cataracts in children up to 12 years old were studied over a 16-year period.
- Traumatic aphakias were also analyzed, focusing on lens damage and complications.
Purpose:
- To describe the conditions leading to secondary cataract development after infantile cataract surgery.
- To evaluate the necessity and timing of secondary cataract operations.
- To investigate complications associated with infantile cataract surgery and traumatic aphakias.
Summary:
- A study of 305 eyes (171 children) undergoing cataract surgery revealed that secondary cataract necessitated a second operation in 125 cases.
- Posterior capsulotomy was crucial for permanently clear optic media; 85% of cases with intact posterior capsules required secondary surgery within four years.
- In traumatic aphakias, functional results were achieved in only 77 of 441 cases, with 40 requiring secondary cataract surgery.
Impact:
- Secondary cataract is an unavoidable consequence of preserving the posterior capsule during initial surgery.
- The development of secondary cataract should be viewed as an inevitable condition requiring a second surgical intervention, not a complication.
- Understanding these outcomes can guide surgical planning and patient expectations for infantile cataract treatment.