The Surgical Pearls for Managing Pediatrc Traumatic Cataract Dr. Suresh K. Pandey.mpg скачать в хорошем качестве

The Surgical Pearls for Managing Pediatrc Traumatic Cataract Dr. Suresh K. Pandey.mpg

In this video, Dr Suresh K Pandey & Dr. Vidushi Sharma, eye surgeons of, Suvi Eye Institute & Lasik Laser Center, Kota, India (www.suvieye.com) elaborate pearls for the management of Pediatric Traumatic cataracts. This 9-year-old child has had a history of injury with a metallic foreign body. He presented to us with a vision of FC 1 foot. Anterior segment examination revealed adherent leucoma, post-traumatic total cataract, iridolenticular adhesion. Post-operative visual acuity improved to 20/30 (P). Trauma is a common cause of unilateral cataract in children. At the time of presentation after the trauma to the eye, primary repair of a corneal or scleral wound may be needed along with a complete evaluation of damage to the intraocular structures (e.g., posterior capsule rupture, vitreous hemorrhage, and retinal detachment). We prefer to defer cataract surgery and IOL implantation in traumatic cataract patients, even when the anterior lens capsule has been ruptured. A delay of 3-4 weeks may be helpful to allow corneal healing and to re-duce the inflammatory response. Longer delays are avoided in children within the amblyopic ages. Implantation of IOL is preferred in the cases of traumatic cataracts with corneal injuries, because contact lenses may be difficult to fit. Placement of the IOL in the capsular bag is preferred when capsular support is available. Ciliary sulcus fixation of the IOL can also be done in absence of adequate capsular support for in-the-bag placement but with a greater incidence of uveitis, pupillary capture, etc. Surgical management of traumatic cataracts in children is markedly different from adults. The eyes are not only smaller because of age but many are also microphthalmia. Decreased scleral rigidity and increased vitreous up thrust make surgical manipulations within these eyes more difficult. The anterior chamber is often unstable; the capsule management requires special considerations and the propensity for postoperative inflammation is increased. Ocular growth makes the selection of an intraocular lens power difficult. Normal childhood behavior can make compliance with postoperative instructions difficult, and examinations of the eye after surgery are also often challenging. The long-expected life span after surgery for children also deserves consideration when surgical decisions are made. These special patients are uniquely challenging. The best surgical techniques for children will evolve most efficiently with optimal cooperation and collaboration between pediatric ophthalmologists and adult cataract surgeons. Contact Details: Dr. Suresh K Pandey & Dr. Vidushi Sharma Director- Suvi Eye Institute and Research Center, VISX™ Advanced CustomVue™ Lasik Laser Center, C 13 Talwandi, Kota, Rajasthan, India; Phone +91 (744) 2433575; +91 9351412449; E-mail- [email protected], www.suvieye.com Address: SuVi Eye Hospital C 13 TALWANDI, KOTA, RAJASTHAN Phone 9351412449 #DrSureshKPandeyKota #SuViEyeHospitalKota #DrVidushiSharma #iol #ophthalmology #cataract #eye #cataractsurgery #eyedoctor #ophthalmologist #eyesurgery #cornea #eyes #phacoemulsification #g #glaucoma #oftalmologia #intraocularlens #optometry #lens #surgery #phaco #eyesurgeon #doctor #eyecare #vision #catarata #retina #medicine #ll #lasik #ophthalmicphotography #multifocal