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Programação » Sessão de Encontro com Autor

Código: P 008
Apresentação: Oral, segunda opção Pôster
Área Técnica: Catarata
Categoria / Classificação: Oftalmologia Cirúrgica
Região onde foi realizada a pesquisa: Nordeste

INSTITUIÇÃO ONDE FOI REALIZADO O TRABALHO:

CONEP:

AUTOR PRINCIPAL:

CO-AUTOR(ES):

TÍTULO:
LONG-TERM SURGICAL OUTCOMES OF CONGENITAL CATARACT SURGERY WITH TENSION RING, PRIMARY IOL AND INTRACAMERAL TRIAMCINOLONE

OBJETIVO:
To report the long-term surgical outcomes of congenital cataract surgery with endocapsular tension ring (CTR) insertion, primary intraocular lens (IOL) implantation and intracameral triamcinolone injection

MÉTODO:
This prospective longitudinal study comprised children younger than 2 years that underwent congenital cataract surgery with CTR insertion, primary IOL implantation and intracameral triamcinolone acetonide injection. Preoperative and 3-year postoperative central corneal thickness (CCT), intraocular pressure (IOP) and horizontal corneal diameter measurements were compared. Surgical complications and biomicroscopy findings were also assessed 3 years postoperatively.

RESULTADOS:
Forty-one eyes (26 patients) were included. Patient´s mean age at surgery was 11.7 ± 8.6 months. Mean follow-up time was 37.3 ± 9.6 months. Mean IOP was 8.12 ± 2.2 mm Hg preoperatively, and 8.85 ± 2.61 mm Hg postoperatively (P = 0.349). Mean preoperative and postoperative CCT was 552.31 ± 42.02 µm and 565.02 ± 40.03 µm (P = 0.787), respectively. Mean corneal diameter was 11.2 ± 0.96 µm preoperatively and 11.58 ± 0.93 µm postoperatively (P = 0.778). Five eyes (12.2%) developed posterior synechiae (in less than 4 clock hours) and 5 eyes (12.2%) presented Elschnig pearls. There were no cases of IOL decentration, secondary visual axis opacification or capsular phimosis.

CONCLUSÕES:
The use of CTR, IOL and intracameral triamcinolone in congenital cataract surgery did not affect IOP, CCT and corneal diameter after a long follow-up. In addition, none of the eyes developed a visually threatening complication. These results suggest that this surgical technique is a safe approach for congenital cataract surgery.

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