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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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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