Congenital Cataract, Microcornea, Microphthalmos
Conditions
Keywords
anterior segment biometry, cataract surgery, aphakia/ pseudophakia
Brief summary
Early cataract surgery in microcornea/microphthalmia eyes is essential to prevent amblyopia and improve visual outcomes, including stereopsis. However, despite recent advances in pediatric cataract microsurgical techniques, this surgery remains challenging owing to several intraoperative difficulties attributable to the crowded anterior segment in these small, soft, and poorly developed eyes with shallow anterior chambers, and poor pupillary dilation. In this study the investigator aim to report on the changes in the anterior segment biometric characteristics after cataract extraction in eyes with microcornea/microphthalmia with congenital cataract.
Detailed description
Eyes with congenital cataract have usually small cornea due to developmental delay of the globe. Recognition of microcornea/microphthalmia may be important as a potential contributor to the development of aphakic glaucoma after cataract surgery. Biometrics characteristics of eyes with m/m before and after removal of the cataractous lens can justify the occurrence of postoperative complications, including glaucoma. Aim of the study: to report on the changes in the anterior segment biometric characteristics after cataract extraction in eyes with microcornea/microphthalmia with congenital cataract. Methods: The study will be a prospective cohorte. Biometry of eligible eyes with congenital cataract in one or both eyes with horizontal cornea diameter less than 11mm and/or axial length less than 2standard deviation for age will be compare to otherwise normal eyes with congenital cataract before and after cataract extraction. The anterior segment biometric characteristics using ultrasound biomicroscopy to measure anterior chamber depth and angle.Cataract surgery will be conducted with or without intraocular lens implantation.Postoperative follow up will be scheduled at the first week and first month, third and sixth months
Interventions
None listed
Sponsors
Alexandria University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Months to 7 Years
Healthy volunteers
No
Inclusion criteria
1. Children presenting with congenital cataract in one or both eyes and with a horizontal corneal diameter less than 11 mm and/or an axial length less than 2 standard deviations for age of the child, less than 18mm in children under one year and less than 20mm in those less than 1year (cases). 2. Children presenting with congenital cataract in one or both eyes with otherwise normal ocular biometric characteristics (controls).
Exclusion criteria
1.Children presenting with congenital cataract associated with other ocular anomalies other than microcornea/microphthalmia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative changes in the biometric characteristics of eyes at 3months | 3 months | the anterior segment biometric characteristics will be assess using ultrasound biomicroscopy biomicroscopy |
| Postoperative changes in the biometric characteristics of eyes at 6months | 6 months | the anterior segment biometric characteristics will be assess using ultrasound biomicroscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications at 3 months | 3 months | we will report occurence of postoperative complications |
| Postoperative complications at 6months | 6 months | we will report occurence of postoperative complications |
Countries
Egypt
Contacts
Primary ContactGloria Nshokano Simba, MBBch
Backup Contactnader L Bayoumi, Professor
Outcome results
None listed