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- Title
A survey of the surgical treatment of congenital and developmental cataracts in Japan.
- Authors
Nagamoto, Toshiyuki; Oshika, Tetsuro; Fujikado, Takashi; Ishibashi, Tatsuro; Sato, Miho; Kondo, Mineo; Kurosaka, Daijiro; Azuma, Noriyuki
- 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.
- Subjects
JAPAN; CATARACT surgery; INTRAOCULAR lenses; AMBLYOPIA; QUESTIONNAIRES
- Publication
Japanese Journal of Ophthalmology, 2015, Vol 59, Issue 4, p203
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-015-0385-1