Video Presentation

Challenging traumatic cataract and vitreous haemorrhage in a child

Video Details

First Author: P.Lopez Lizarraga SPAIN

Co Author(s):    F. March de Ribot   A. March de Ribot                          

Abstract Details



Purpose:

To share the experience and the challenge it represents for a surgeon the treatment of complex traumatic injuries in children.

Setting:

University hospital, ophthalmology department

Methods:

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.

Results:

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.

Conclusions:

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.

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