First Author: P.Lopez Lizarraga SPAIN
Co Author(s): F. March de Ribot A. March de Ribot
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To share the experience and the challenge it represents for a surgeon the treatment of complex traumatic injuries in children.
University hospital, ophthalmology department
Clinical and surgical case: A 7 years old patient suffered from a firework injury in the right eye 2 months ago. The patient presented an inferior corneal leucoma, iris atrophy and white cataract. The echography detected dense vitreous opacities and a retinal detachment could not be excluded. A combined surgery with phacoemulsification and vitrectomy were planned.
Cataract surgery was realized using trypan blue dye to stain the anterior capsule. The capsulorrhexis was difficult. The cataract could be removed using simple aspiration. A 3 pieces intraocular lens was placed in the bag. The posterior vitrectomy identified a dense white opacity corresponding to an old vitreous haemorrhage. The retina was attached. The patients developed a clear cornea after the surgery with improvement of the visual acuity and stable intraocular pressure.
Traumatic cataract in children represents a medical and surgical challenge. Each case has to be evaluated individually to determine the best management. Medical treatment and a close follow up are very important to get the best result.