Efficacy and Safety of Different Surgical Approaches in Infantile Cataract Surgery
[Objective]To observe the efficacy and safety of different surgical approaches in infantile cataract surgery.[Methods]A total of 86 cases(137 eyes)of pediatric cataract patients treated in our hospital from July 2015 to September 2019 were included in the study.The patients were divided into an anterior approach group(47 cases)and a posterior approach group(39 cases)according to the surgical approaches.The children were followed up for 3 years after discharge.The axial length and corneal curvature of the two groups were measured and com-pared preoperatively,6 months postoperatively,1 year postoperatively,and 3 years postoperatively.The best cor-rected visual acuity of one eye and both eyes at the last follow-up visit,as well as the incidence of complications,were also compared between the two groups.[Results]There were no significant differences in the axial length and corneal curvature between the two groups preoperatively,6 months postoperatively,1 year postoperatively,and 3 years postoperatively(P＞0.05).The axial lengths at 6 months postoperatively,1 year postoperatively,and 3 years postoperatively were significantly longer than those preoperatively,and the corneal curvatures were signifi-cantly smaller than those preoperatively in both groups(P＜0.05).There were no significant differences in the best corrected visual acuity of one eye and both eyes at the last follow-up visit between the two groups(P＞0.05).There were no significant differences in the incidences of iris adhesions,intraocular lens displacement,and second-ary cataracts between the two groups(P＞0.05).The anterior approach group had significantly lower incidences of strabismus and nystagmus than the posterior approach group(P＜0.05).[Conclusion]Both posterior and an-terior approaches in infantile cataract surgery can effectively treat cataracts.The anterior approach can reduce post-operative complications and has better clinical application value.
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