Department of Ophthalmology, Fatih University Hospital, Ankara, Turkey.
Eye (Lond). 2009 May;23(5):1199-205. doi: 10.1038/eye.2008.173. Epub 2008 Jun 6.
To evaluate the results of bilateral paediatric cataract surgery in the same session with a focus on patient selection criteria, operative guidelines, and controversial issues.
Departments of Ophthalmology, Inönü University Turgut Ozal Medical Center (Malatya) and Fatih University Hospital (Ankara, Turkey).
This retrospective noncomparative case series comprised 39 children (78 eyes), who underwent bilateral cataract surgery and/or primary or secondary IOL implantation in one sitting. Ten patients had bilateral lensectomy-primary posterior capsulotomy-anterior vitrectomy, and the remaining 29 patients had bilateral IOL implantation either primarily (20 cases) at the time of cataract extraction or secondarily for aphakic correction (9 cases). Both eyes were treated as two separate but consecutive surgeries in the same session. Maximum possible care was taken to ensure surgical asepsis.
Age at surgery ranged from 2 months to 17 years. Average follow-up was 12 months. No serious intraoperative or postoperative complications occurred leading to permanent vision loss. During the last follow-up, 91% of eyes tested had a visual acuity of 20/40 or better.
Bilateral paediatric cataract surgery in one session may be a safe and useful approach alternative to sequential surgery in selected patients, if operative guidelines and surgical asepsis are strictly followed.
评估在同一次手术中对双侧小儿白内障进行手术的结果，重点关注患者选择标准、手术指南和有争议的问题。
土耳其因纽努尔大学图尔古特奥扎尔医疗中心（马拉蒂亚）和法提赫大学医院（安卡拉）眼科系。
本回顾性非对照病例系列研究纳入了 39 名儿童（78 只眼），他们在同一次手术中接受了双侧白内障手术和/或原发性或继发性人工晶状体植入术。10 名患者接受了双侧晶状体切除术-后囊切开术-前段玻璃体切除术，其余 29 名患者在白内障摘除时接受了双侧人工晶状体植入术（原发性 20 例）或用于无晶状体矫正的继发性人工晶状体植入术（9 例）。双眼在同一次手术中被视为两个单独但连续的手术。尽最大可能确保手术无菌。
手术年龄为 2 个月至 17 岁。平均随访时间为 12 个月。没有发生导致永久性视力丧失的严重术中或术后并发症。在最后一次随访时，91%的受检眼视力达到 20/40 或更好。
如果严格遵循手术指南和手术无菌原则，在选定的患者中，一次双侧小儿白内障手术可能是一种安全且有用的替代序贯手术的方法。
