Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
International Ophthalmology
Published in: International Ophthalmology 1/2018

01-02-2018 | Original Paper

Comparative study of 25- versus 20-gauge pars plana capsulotomy and vitrectomy in pediatric cataract surgery

Authors: Anju Rastogi, Manisha Mishra, Yashpal Goel, Prolima Thacker, Kamlesh

Published in: International Ophthalmology | Issue 1/2018

Login to get access

Abstract

Purpose

To compare 25- and 20-gauge pars plana vitrectomy (PPV) for the management of pediatric cataract.

Methods

20 eyes of 15 patients were randomly divided into two groups to undergo pars plana capsulotomy and vitrectomy by either 25-gauge (group A) or 20-gauge (group B) PPV after lens aspiration and IOL implantation. The two groups were compared for total surgical time, time taken in doing pars plana capsulotomy and vitrectomy, and the size of posterior capsulotomy. Post-operative astigmatism was compared at 3 months.

Results

The mean total surgical time in group A was 49.2 ± 6.7 min, while mean total surgical time in group B was 62.5 + 5.48 min (p = 0.001). The mean time taken for pars plana capsulotomy and vitrectomy was 4.1 ± 1.19 min in group A and 5.0 ± 0.73 min (p = 0.03) in group B. The mean size of the PCCC in group A was 3.3 ± 0.34 mm, while in group B it was 4.0 ± 0.33 mm (p = 0.001). The mean astigmatism at 3 months in group A was 0.65 ± 0.31 diopters, while in group B it was 1.45 ± 0.92 diopters (p = 0.019).

Conclusions

25-gauge transconjunctival sutureless PPV can be an attractive alternative to 20-gauge system in the management of pediatric cataracts.
Literature
1.
Holmes JM, Leske DA, Burke JP, Hodge DO (2003) Birth prevalence of visually significant infantile cataract in a defined U.S. population. Ophthalmic Epidemiol 10:67–74CrossRefPubMed
2.
Taylor D (1981) Choice of surgical technique in the management of congenital cataract. Trans Ophthalmol Soc UK 101(1):114–117PubMed
3.
Chee KYH, Lam GC (2009) Management of congenital cataract in children younger than 1 year using a 25-gauge vitrectomy system. J Cataract Refract Surg 35(4):720–724CrossRefPubMed
4.
Wu X-M, Xie L-X (2015) Comparison of 25-gauge sutureless vitrectomy and 20-gauge vitrectomy in the treatment of posterior capsule opacification in pseudophakic children. Int J Ophthalmol 8(6):1179–1183PubMedPubMedCentral
5.
Cacciatori M, Arpa P (2006) Surgical technique for anterior segment surgery in pediatric patients using 25-gauge instruments. J Cataract Refract Surg 32(4):562–564CrossRefPubMed
6.
7.
Xie L, Huang Y (2008) Pars plana capsulectomy and vitrectomy for posterior capsular opacification in pseudophakic children. J Pediatr Ophthalmol Strabismus 45(6):362–365CrossRefPubMed
8.
Lam DSC, Fan DSP, Mohamed S, Yu CBO, Zhang S, Chen W (2005) 25-gauge transconjunctival sutureless vitrectomy system in the surgical management of children with posterior capsular opacification. Clin Exp Ophthalmol 33(5):495–498CrossRefPubMed
9.
Lee HK, Kim CY, Kwon OW, Kim EK, Lee SC, Seong GJ et al (2004) Removal of dense posterior capsule opacification after congenital cataract extraction using the transconjunctival sutureless vitrectomy system. J Cataract Refract Surg 30(8):1626–1628CrossRefPubMed
Metadata
Title
Comparative study of 25- versus 20-gauge pars plana capsulotomy and vitrectomy in pediatric cataract surgery
Authors
Anju Rastogi
Manisha Mishra
Yashpal Goel
Prolima Thacker
Kamlesh
Publication date
01-02-2018
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 1/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-016-0438-6

Other articles of this Issue 1/2018

International Ophthalmology 1/2018 Go to the issue

Original Paper

The effects of topical carbonic anhydrase inhibitor in treatment of nystagmus

Original Paper

Is there an association between glaucoma and capillaroscopy in patients with systemic sclerosis?

Original Paper

Changing trend in referral to secondary care specialist thyroid eye disease clinic following the Amsterdam declaration

Original Paper

Risk factors for multiple retinal tears in patients with acute posterior vitreous detachment

Original Paper

Characteristics of orbital lymphoma: a clinicopathological study of 26 cases

Case Report

Acute lupus choroidopathy: multimodal imaging and differential diagnosis from central serous chorioretinopathy