Abstract
Background/Purpose: To evaluate the effectiveness of primary neodymium-doped yttrium aluminum garnet (Nd:YAG) laser posterior capsulotomy in pediatric cataract surgeries.
Methods: Retrospective analyses of 19 eyes of 11 patients with developmental cataract who had undergone cataract surgery between 2012 to 2016 were included in the study. All the cases that had undergone phacoemulsification with foldable acrylic Intra Ocular Lens (IOL) in which the posterior capsule was left intact, and followed by Nd:YAG capsulotomy after one to two weeks’ of surgery were included. Traumatic cataracts and those which needed anterior vitrectomy due to dehiscence of posterior capsule were excluded from the study.
Results: The mean age of the study population was 7.42 ± 3.39 years withaminimum age of 3 years andamaximum of 14 years. The maximum follow-up period was found to be 33 months. The mean preoperative visual acuity in the study group was 0.87 log MAR units anda statistically significant improvement was noted post operatively. All 19 eyes had a clear visual axis at thelast follow up. No eye developed visual axis opacification or required any further intervention.
Conclusion: This study proposes that leaving the vitreous undisturbed and performing YAG capsulotomy after two weeks is moreeffective than a primary posterior capsulorhexis with anterior vitrectomy especially in children older than 3 years. It is a safe and easier method even at the hands of inexperienced surgeons who may have to take up a developmental cataract in under developed and less accessible parts of the world.
Citation
Hilland TA, Craike M, Stratton G, Knowles ZR and Murphy RC. An Evaluation of the Nintendo WiiTM as a Home-Based Stroke Rehabilitation Intervention: A Qualitative Interview Study. SM Phys Med Rehabil. 2018; 2(1): 1002.