[Clinical characteristics and results of microsurgical treatment of bilateral congenital cataracts associated with microphthalmos].
Examinations of 146 children (267 eyes) with bilateral congenital cataracts and microphthalmia have revealed complete microphthalmia in 66 percent of cases, anterior microphthalmia (microcornea) in 34 percent, and various solitary and multiple abnormalities of the anterior section of the eye: microcornea, ectopic pupil, no pupil, a pupil membrane, iridal hypoplasia and aplasia, iridocorneal adhesions, etc. A total of 224 cataract extractions by the aspiration irrigation method were carried out with the use of microsurgical equipment. In cases with abnormalities of the anterior segment of the eye and with some abnormalities of the posterior segment cataract extraction was coupled with reconstructive surgery (creation and center adjustment of the pupil, adhesion dissection, removal of the pupil and hyaline membranes, etc.). Good effect was achieved in 98.2 percent of cases, vision acuity improved in 9.2 percent of cases. Vision acuity of 0.05-0.3 diopters (with eyeglass correction) was achieved in 74.1 percent of cases, that of 0.1-0.3 diopters in 29.9 percent. Anatomical and functional inadequacy of the eye, abnormalities of the fundus oculi, and deprivation amblyopia are responsible for poor functional results. The results evidence a possibility of rehabilitation of children with grave congenital conditions, bilateral congenital cataracts with microphthalmia.
Khvatova
A V
AV
Agatova
M D
MD
D002386:Cataract / Q000150:complications / Q000151:congenital* / Q000473:pathology / Q000503:physiopathology; D002387:Cataract Extraction / Q000379:methods* / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008850:Microphthalmos / Q000150:complications*; D008866:Microsurgery / Q000379:methods / Q000534:rehabilitation; D014792:Visual Acuity / Q000502:physiology
Klinicheskie osobennosti i rezul'taty mikrokhirurgicheskogo lecheniia dvustoronnikh vrozhdennykh katarakt, sochetaiushchikhsia s mikroftal'mom.