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Japanese Journal of Ophthalmology
Published in: Japanese Journal of Ophthalmology 4/2015

01-07-2015 | Clinical Investigation

A survey of the surgical treatment of congenital and developmental cataracts in Japan

Authors: Toshiyuki Nagamoto, Tetsuro Oshika, Takashi Fujikado, Tatsuro Ishibashi, Miho Sato, Mineo Kondo, Daijiro Kurosaka, Noriyuki Azuma

Published in: Japanese Journal of Ophthalmology | Issue 4/2015

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Abstract

Purpose

To understand the current practice pattern for the surgical treatment of congenital/developmental cataracts in Japan.

Methods

A mail questionnaire was sent to facilities engaged in thesurgical treatment of congenital cataracts in Japan.

Results

Thirty-four facilities reported their preferred methods for the surgical treatment of congenital cataracts, including data from 809 eyes of 508 patients who had undergone surgery. More than 85 % of the respondents answered that they would consider surgery even if the visual prognosis was not promising because of possible form-deprivation amblyopia. The most commonly performed surgical maneuvers were scleral tunnel incision (88.4 %), 3.0-mm or smaller incision (78.8 %), manual anterior continuous curvilinear capsulorhexis (90.2 % success rate), posterior capsulotomy (92.5 % for patients aged ≤6 years), anterior vitrectomy by the limbal approach (85.9 % for patients aged ≤6 years), and wound closure with sutures (93.2 %). Posterior capsulotomy and vitrectomy were not usually performed in patients aged >6 years. Implantation of an intraocular lens (IOL) was mostly indicated in patients aged 2 years or older. Implantation of an acrylic foldable IOL (76.6 %) into the capsular bag (89.7 %) was the most common practice among the surgeons.

Conclusions

Small incision surgery with implantation of an acrylic foldable IOL into the capsular bag combined with posterior capsulotomy was the preferred surgical treatment of choice for congenital/developmental cataracts.
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Metadata
Title
A survey of the surgical treatment of congenital and developmental cataracts in Japan
Authors
Toshiyuki Nagamoto
Tetsuro Oshika
Takashi Fujikado
Tatsuro Ishibashi
Miho Sato
Mineo Kondo
Daijiro Kurosaka
Noriyuki Azuma
Publication date
01-07-2015
Publisher
Springer Japan
Published in
Japanese Journal of Ophthalmology / Issue 4/2015
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-015-0385-1

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