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Chapter-10 Operative and Postoperative Care and Complications Following Pediatric Cataract Surgery

BOOK TITLE: Pediatric Cataract Surgery

Author
1. Ram Jagat
2. Brar Gagandeep Singh
ISBN
9788180619182
DOI
10.5005/jp/books/10596_10
Edition
1/e
Publishing Year
2007
Pages
36
Author Affiliations
1. Postgraduate Institute of Medical Education and Research, Chandigarh, India, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Postgraduate Institute of Medical Education and Research Chandigarh, India, Advanced Eye Centre, Postgraduate Institute, of Medical Education and Research, Chandigarh, Post Graduate Institute of Medical Education and Research, Chandigarh, PGI, Chandigarh, India
2. Postgraduate Institute of Medical, Education and Research, Chandigarh, India, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Grewal Eye Institute, Chandigarh, PGI, Chandigarh (India), PGI, Chandigarh, India, Advanced Eye Centre, Postgraduate Institute, of Medical Education and Research, Chandigarh
Chapter keywords

Abstract

As with all types of surgery, there is the possibility of complications due to anesthesia, drug reaction, surgical procedure itself or other miscellaneous factors. Specific complications of pediatric cataract surgery may occur intra-operatively, or post-operatively. Intraoperative problems include poor pupillary dilatation, difficulty in capsulorhexis formation due to elasticity of the capsule, positive intravitreal pressure, and wound leak. Postoperative complications include a greater postoperative uveitis, and posterior capsular opacification. PCO is the most common complication after pediatric cataract surgery with or without IOL surgery. Use of newer surgical techniques like primary posterior CCC and anterior vitrectomy, or posterior capsulotomy with endodiathermy of capsule or posterior capsulorhexis with optic capture have shown encouraging results in maintaining a clear visual axis. Other complications noted are - pupillary capture of IOL optic, decentration of IOL, glaucoma, secondary membrane formation and rare retinal complications such as hemorrhagic retinopathy and cystoid macular edema.

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