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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-01-2021 | Glaucoma | Pediatrics

Surgical outcomes of cataract surgery in anterior and combined persistent fetal vasculature using a novel surgical technique: a single center, prospective study

Authors: Surbhi Khurana, Jagat Ram, Ramandeep Singh, Parul Chawla Gupta, Rohit Gupta, Sonam Yangzes, Jaspreet Sukhija, Mangat Ram Dogra

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 1/2021

Abstract

Purpose

To study the complications and surgical outcomes of cataract surgery in patients of persistent fetal vasculature (PFV) with cataract.

Methods

In this prospective study, phacoaspiration with/without intraocular lens implantation (IOL) was done in 20 children (mean age 14.2 months) with unilateral cataract with anterior (n = 6) or combined (n = 14) PFV. The rentrolental vascularized membrane was cauterized and dissected circumferentially, followed by cauterization and resection of the PFV stalk. The outcome measures included fixation preference using the CSM (central, steady, maintained) method and intraoperative and postoperative complications in an 18-month follow-up. The difference in outcomes of anterior and combined PFV, as well as aphakic and pseudophakic eyes, was studied.

Results

CSM fixation was seen in 16 patients after 18 months. The intraocular lens was implanted in 16 eyes and 4 eyes with combined PFV were left aphakic. None of our patients had intraoperative bleeding. Visual axis obscuration was the major complication seen, requiring membranectomy in 8 children. Pupilloplasty was required with membranectomy in one eye. None of our patients developed glaucoma or retinal detachment.

Conclusion

Timely surgical intervention and aggressive amblyopia therapy led to good visual results in our study. Poor prognosis was seen in combined PFV, aphakia, and microphthalmia.

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Title: Surgical outcomes of cataract surgery in anterior and combined persistent fetal vasculature using a novel surgical technique: a single center, prospective study
Authors: Surbhi Khurana
Jagat Ram
Ramandeep Singh
Parul Chawla Gupta
Rohit Gupta
Sonam Yangzes
Jaspreet Sukhija
Mangat Ram Dogra
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Keywords: Glaucoma
Cataract
Retinal Detachment
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 1/2021
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-020-04883-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Surgical outcomes of cataract surgery in anterior and combined persistent fetal vasculature using a novel surgical technique: a single center, prospective study

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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