Programm & Abstracts                 "Innovationen in der Augenheilkunde"

Aktuelle Tagungsinformationen
   News and Updates

Anmeldung zur Tagung
   Hotel Registration
   Welcome address
Beteiligte Gesellschaften
   Societies involved
Eröffnung des Kongresses
   Opening Ceremony
Wissenschaftliches Programm
   Scientific program
   Poster Presentation
Begleitende Veranstaltungen
   Collateral Events
   Social program
   Jubilee Party
DOG Information
   DOG Information
Allgemeine Informationen
   General Information
   Index of Authors
   Registration fees

DOG Homepage

Strabismus in Cases of Pediatric Cataract Before and After IOL-Implantation with Anterior Vitrectomy against Optic Capture - Two-Years-results from a Prospective, Randomized Study

1Rosenkranz C., 2Vanselow K., 1Lüchtenberg M., 3Kohnen T., 1Zubcov-Iwantscheff A. A.,
1Johann-Wolfgang-Goethe-Universität, Klinik für Augenheilkunde, Kinderaugenheikunde und Strabologie (Frankfurt/Main)
2 (Frankfurt/Main)
3Johann-Wolfgang-Goethe-Universität, Klinik für Augenheilkunde (Frankfurt/Main)

Purpose: The early diagnosis and treatment of the pediatric cataract is most importent for the development of visual acuity and stereopsis.
Patients and methods: We examined 20 eyes from 15 children divided into 3 groups to the age in the time of surgery (1,5-3; 3-6; 6-12 years). Afterwards we split the cases into two groups of different surgery technics in a randomised way. The surgery-technic A included a IOL-implantation with posterior capsulorrhexis and anterior vitrectomy. Technic B included a IOL implantation with posterior capsulorrhexis and optic capture without anterior vitrectomy. Two years after the surgery the observed stereopsis was compared with results before surgery.
Results: According to the binocularity in 14 cases a orthophoria (70%), in 6 cases a exotropia (30%) was observed before surgery, including 4 cases with bilateral cataract from the group 3 of patients between 6 and 12 years. After surgery in 3 children the exotropia was still resistent (microtropia divergens -2PD), 2 of these children had bilateral cataract (group 3) and one child had a unilateral cataract (group 2). The other 3 children became orthophoria (50%), whereby in 2 cases with unilateral cataract after the surgery a microtropia convergens (+2 PD- +5PD, 14%) was observed (group 1,2).
Conclusions: Our study shows that a pediatric cataract surgery can change the binocular function. In many cases a progressic of the stereopsis is resulted.