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After-cataract in children having cataract surgery with or without anterior vitrectomy implanted with a single-piece AcrySof IOL.

https://arctichealth.org/en/permalink/ahliterature29715
Source
J Cataract Refract Surg. 2005 Apr;31(4):757-62
Publication Type
Article
Date
Apr-2005
Author
Maria Kugelberg
Ulla Kugelberg
Nadiya Bobrova
Svetlana Tronina
Charlotta Zetterström
Author Affiliation
St. Erik's Eye Hospital, Stockholm, Sweden. m.kugelberg@sankterik.se
Source
J Cataract Refract Surg. 2005 Apr;31(4):757-62
Date
Apr-2005
Language
English
Publication Type
Article
Keywords
Acrylic Resins
Adolescent
Age Factors
Anterior Eye Segment - surgery
Capsulorhexis
Cataract - etiology
Child
Child, Preschool
Comparative Study
Female
Humans
Lens Capsule, Crystalline - pathology - surgery
Lens Implantation, Intraocular
Lenses, Intraocular
Male
Postoperative Complications
Prospective Studies
Research Support, Non-U.S. Gov't
Vitrectomy - methods
Abstract
PURPOSE: To evaluate whether cataract surgery in children should be performed with anterior vitrectomy and to examine the properties of the AcrySof SA30AL intraocular lens (IOL) in the pediatric eye. SETTING: Filatov Institute, Odessa, Ukraine. METHODS: Cataract surgery was performed in 66 children aged 3 to 15 years. They were randomized to surgery with or without anterior vitrectomy. All eyes were implanted with the single-piece AcrySof SA30AL IOL (Alcon). During the study, the patients who needed surgery for after-cataract had a second surgical procedure. Two years after surgery, the surgical method was evaluated using exact logistic regression. Also, the Evaluation of Posterior Capsule Opacification (EPCO) score was compared between the patients who had surgery for after-cataract and the patients who did not need this. The presence of posterior synechias and centration of the IOL were assessed. RESULTS: Children in the younger age group (
PubMed ID
15899453 View in PubMed
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Intraoperative bacterial contamination of the aqueous humor.

https://arctichealth.org/en/permalink/ahliterature220987
Source
Ophthalmic Surg. 1993 Jun;24(6):367-73; discussion 373-4
Publication Type
Article
Date
Jun-1993
Author
R G Ariyasu
T. Nakamura
M D Trousdale
R E Smith
Author Affiliation
Doheny Eye Institute, Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles 90033.
Source
Ophthalmic Surg. 1993 Jun;24(6):367-73; discussion 373-4
Date
Jun-1993
Language
English
Publication Type
Article
Keywords
Anterior Eye Segment - surgery
Aqueous Humor - drug effects - microbiology
Conjunctiva - microbiology
Eye Diseases - surgery
Eyelids - microbiology
Gram-Positive Bacteria - isolation & purification
Humans
Intraoperative Period
Microbial Sensitivity Tests
Abstract
Indigenous ocular flora has been presumed to be a source of infectious organisms in postoperative bacterial endophthalmitis. While bacteria have been recovered from the anterior chamber at the time of cataract wound closure in a significant percentage of cases, and bacteria from the vitreous of endophthalmitis cases have appeared genetically to be very similar to bacteria recovered from the adnexa and/or nares at the time of vitrectomy for endophthalmitis, no study has examined the relationship between organisms isolated from the eyelid and conjunctiva, and organisms recovered from the aqueous humor at the time of wound closure. This study examined 59 eyes undergoing cataract and other intraocular surgeries. Cultures of the eyelids and conjunctiva were taken before and after routine preparation with povidone-iodine solution. Cultures also were taken of the aqueous humor at the time of incision into the anterior chamber and at the time of wound closure. No organisms grew from aqueous humor samples taken at the time of incision. However, 13 eyes (22%) grew gram-positive organisms from samples taken at the time of wound closure. Eight of the 13 eyes (62%) had organisms with identical typing and antibiotic sensitivities to organisms isolated from the eyelids and conjunctiva before or after disinfection. This study suggests that a significant number of cases had inoperative bacterial contamination of the aqueous humor by the time of wound closure and that organisms from the eyelids and conjunctiva are an important source of contamination in these cases.
PubMed ID
8336886 View in PubMed
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Pediatric cataract surgery with or without anterior vitrectomy.

https://arctichealth.org/en/permalink/ahliterature31326
Source
J Cataract Refract Surg. 2002 Oct;28(10):1770-3
Publication Type
Article
Date
Oct-2002
Author
Maria Kugelberg
Charlotta Zetterström
Author Affiliation
St. Erik's Eye Hospital, Stockholm, Sweden. m.kuelberg@sankterik.se
Source
J Cataract Refract Surg. 2002 Oct;28(10):1770-3
Date
Oct-2002
Language
English
Publication Type
Article
Keywords
Acrylic Resins
Adolescent
Anterior Eye Segment - surgery
Capsulorhexis - methods
Cataract - etiology - prevention & control
Child
Child, Preschool
Coated Materials, Biocompatible
Comparative Study
Heparin
Humans
Lens Implantation, Intraocular
Lenses, Intraocular
Polymethyl Methacrylate
Postoperative Complications - prevention & control
Research Support, Non-U.S. Gov't
Retrospective Studies
Vitrectomy
Abstract
PURPOSE: To evaluate after-cataract formation in children having cataract surgery with or without dry anterior vitrectomy and possible differences according to age. SETTING: St. Erik's Eye Hospital, Stockholm, Sweden. METHODS: This retrospective study comprised 85 eyes of 85 patients from 0 to 15 years old who had cataract surgery with or without anterior vitrectomy after the implantation of an intraocular lens (IOL). All patients had primary posterior capsulorhexis but no optic capture. Thirty-five patients received a heparin-surface-modified poly(methyl methacrylate) IOL (809C, Pharmacia & Upjohn) and 50 patients, a foldable acrylic IOL (AcrySof(R), Alcon). The records from follow-up visits at the patients' home clinics were used for analysis. RESULTS: Significantly fewer children were operated on for after-cataract if they had cataract surgery with anterior vitrectomy (P .05). CONCLUSION: In children younger than 7 years with an AcrySof IOL, the rate of after-cataract surgery was significantly less in those who had an anterior vitrectomy at the time of cataract surgery (P
PubMed ID
12388026 View in PubMed
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