Intraocular lenses and clinical treatment in paediatric cataract
| Autor: | Priscilla de Almeida Jorge, Newton Kara-Junior, Camila Ribeiro Koch Pena |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment Aphakia/surgery Lentes de contato Glaucoma Intraocular lens Aphakia Cataract/congenital Cataract/etiology lcsh:Ophthalmology Ophthalmology medicine Contact lenses Afacia/cirurgia business.industry Postoperative complication medicine.disease eye diseases Contact lens Catarata/congênito medicine.anatomical_structure lcsh:RE1-994 Lens (anatomy) Etiology Lentes intraoculares Surgery sense organs Catarata/etiologia Complication business Lenses intraocular |
| Zdroj: | Revista Brasileira de Oftalmologia, Vol 74, Iss 3, Pp 189-193 (2015) Revista Brasileira de Oftalmologia v.74 n.3 2015 Revista Brasileira de Oftalmologia Sociedade Brasileira de Oftalmologia (SBO) instacron:SBO |
| ISSN: | 1982-8551 |
| Popis: | Pediatric cataract is the most common treatable cause of blindness in children. Prevalence, etiology and morphology vary with the socioeconomic development. The treatment goal is to reduce amblyopia, being difficult management especially in unilateral cases. The decision on aphakia or primary intraocular lens should be individualized as well as correction with contact lens or spectacles. The intraocular lens single-piece hydrophobic acrylic are the most implanted in children and the preferably is in the capsular bag. The Sanders-Retzlaff-Kraff theoretic (SRK/T) stressing that is described as more predictable, following Holladay I and SRK II and the recommendation is to under correction +6.0 or +8.0 dioptrias expecting the growth of the eye. The posterior capsule opacity is the most frequent complication and varies with the material choice of the lens. Glaucoma is the most serious postoperative complication and depends on the timing of the surgery, primary lens implantation and time of post surgical follow-up. The adherence to occlusion therapy with patching is critical to the visual prognosis and is determined by the child’s age and laterality of the cataract. There was significant improvement in the surgery and in IOLs, however the final visual prognosis is still not desirable. |
| Databáze: | OpenAIRE |
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