Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract

Objective. In a group case series, the clinical characteristics of congenital membranous cataract in children were studied to establish a system of classification and determine the surgical method suited for each type. Methods. Children (18 eyes) with congenital membranous cataract were examined by...

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Main Authors: Jingji Long, Daoman Xiang, Zheng Guo, Lihong Chen, Feng Chen, Jianxun Wang, Wanhua Xie, Shiping He
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/2370969
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spelling doaj-dfc3e8a966414758b30617bc822d29632020-11-24T22:18:15ZengHindawi LimitedJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/23709692370969Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous CataractJingji Long0Daoman Xiang1Zheng Guo2Lihong Chen3Feng Chen4Jianxun Wang5Wanhua Xie6Shiping He7Department of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, ChinaDepartment of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, ChinaDepartment of Pediatric Ophthalmology, Wuhan Children’s Hospital, Wuhan 430015, ChinaDepartment of Ophthalmology, Shenzhen Longhua New District Central Hospital, Shenzhen, Guangdong 518110, ChinaDepartment of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, ChinaDepartment of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, ChinaDepartment of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, ChinaDepartment of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, ChinaObjective. In a group case series, the clinical characteristics of congenital membranous cataract in children were studied to establish a system of classification and determine the surgical method suited for each type. Methods. Children (18 eyes) with congenital membranous cataract were examined by slit lamp, ultrasound biomicroscopy, and operating microscopy to classify cataracts. The clinical characteristics of congenital membranous cataract and its feature related to the surgical method were analyzed. Results. Five major types of congenital membranous cataracts were classified. All of the surgeries were successful. Anterior and posterior capsulorhexis was performed using Klöti RF capsulotomy tips. The capsular flap was removed, and anterior vitrectomy was performed using a vitrectomy cutter. Postoperative complications included posterior capsule opacification in 16.7% of the patients. Conclusion. Ultrasound biomicroscopy was used successfully to classify congenital membranous cataracts prior to surgery. Anterior and posterior capsulorhexis was performed using Klöti RF capsulotomy tips, and capsulectomy was performed using a vitrectomy cutter. These were effective techniques and should be considered for congenital membranous cataract removal surgery. This trial is registered with registration number chiCTR-OOC-17010913.http://dx.doi.org/10.1155/2017/2370969
collection DOAJ
language English
format Article
sources DOAJ
author Jingji Long
Daoman Xiang
Zheng Guo
Lihong Chen
Feng Chen
Jianxun Wang
Wanhua Xie
Shiping He
spellingShingle Jingji Long
Daoman Xiang
Zheng Guo
Lihong Chen
Feng Chen
Jianxun Wang
Wanhua Xie
Shiping He
Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract
Journal of Ophthalmology
author_facet Jingji Long
Daoman Xiang
Zheng Guo
Lihong Chen
Feng Chen
Jianxun Wang
Wanhua Xie
Shiping He
author_sort Jingji Long
title Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract
title_short Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract
title_full Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract
title_fullStr Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract
title_full_unstemmed Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract
title_sort clinical characteristics and surgical procedures for children with congenital membranous cataract
publisher Hindawi Limited
series Journal of Ophthalmology
issn 2090-004X
2090-0058
publishDate 2017-01-01
description Objective. In a group case series, the clinical characteristics of congenital membranous cataract in children were studied to establish a system of classification and determine the surgical method suited for each type. Methods. Children (18 eyes) with congenital membranous cataract were examined by slit lamp, ultrasound biomicroscopy, and operating microscopy to classify cataracts. The clinical characteristics of congenital membranous cataract and its feature related to the surgical method were analyzed. Results. Five major types of congenital membranous cataracts were classified. All of the surgeries were successful. Anterior and posterior capsulorhexis was performed using Klöti RF capsulotomy tips. The capsular flap was removed, and anterior vitrectomy was performed using a vitrectomy cutter. Postoperative complications included posterior capsule opacification in 16.7% of the patients. Conclusion. Ultrasound biomicroscopy was used successfully to classify congenital membranous cataracts prior to surgery. Anterior and posterior capsulorhexis was performed using Klöti RF capsulotomy tips, and capsulectomy was performed using a vitrectomy cutter. These were effective techniques and should be considered for congenital membranous cataract removal surgery. This trial is registered with registration number chiCTR-OOC-17010913.
url http://dx.doi.org/10.1155/2017/2370969
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