title: [Influence of intraoperative complication on intraocular rigid lens fixation in pediatric cataract surgery].
abstract: OBJECTIVE
  This paper presents the intraoperative complications in pediatric cataract surgery with IOL implantation and their influence on fixation place.
  
  
  METHODS
  384 eyes of 276 children undergone operative procedure for cataract. Anterior capsulorhexis, lens cortical aspiration, primary posterior capsulorhexis with anterior vitrectomy and IOL implantation were done in all eyes. The place of IOL implantation was capsular sac or ciliary sulcus.
  
  
  RESULTS
  There were no serious intraoperative complications but in cases with large anterior (5.2%) and posterior (14.6%) radial capsule tears, vitreous loss (12.3%), and hemorrhage (5.5%) to anterior and posterior chamber the IOL was fixated at ciliary sulcus (in 37.5%).
  
  
  CONCLUSIONS
  The surgical procedure is useful and safe in the management of pediatric cataract. Location of an IOL in the ciliary sulcus in a child, is acceptable. To avoid decentration in this cases, we recommend rigid PMMA IOLs.
authors: Kliniki Okulistyki, Instytutu Pomnik-Centrum Zdrowia Dziecka, Warszawie.
authors: Krystyna
authors: K
authors: Kanigowska
authors: Mirosława
authors: M
authors: Grałek
authors: Dorota
authors: D
authors: Klimczak-Slaczka
authors: Wojciech
authors: W
authors: Hautz
authors: Barbara
authors: B
authors: Chipczyńska
mesh_terms: D002386:Cataract / Q000151:congenital* / Q000453:epidemiology / Q000628:therapy; D002387:Cataract Extraction / Q000009:adverse effects / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology* / Q000517:prevention & control / Q000601:surgery; D007903:Lens Capsule, Crystalline / Q000293:injuries; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000706:statistics & numerical data*; D018918:Phacoemulsification / Q000009:adverse effects / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D012029:Refraction, Ocular; D012189:Retrospective Studies; D012421:Rupture / Q000453:epidemiology; D016896:Treatment Outcome; D014792:Visual Acuity