Aspiração-irrigação bimanual automatizada na cirurgia da catarata infantil

Autores:

Antonio Jordão Jr,

Erasmo Romão

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.62 no.3 São Paulo jun. 1999

http://dx.doi.org/10.5935/0004-2749.19990008

SUMMARY

Purpose:

To describe the bimanual irrigation-aspiration technique to remove infantile cataract.

Methods:

Two groups offive patients each were operated on according to two different surgical techniques. Group 1 was operated on using a Simcoe two-way cannula to aspirate the cortex and in the Group 2 the cortex was aspirated by the bimanual irrigation-aspiration technique. In all cases a PMMA posterior chamber intraocular lens was implanted.

Results:

Group 2 presented less inflammatory reaction at the immediate and early postsurgical period, with less corneal edema, less inflammatory anterior chamber reaction and less synechiae formation.

Conclusions:

Despite the shortfollow-up and the small rumber of cases, the results suggest that the bimanual irrigation-aspiration technique provides a better cortical removal.

Keywords: Surgical technique; Cataract infantile; Intraocular lens

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REFERÊNCIAS

1 Jordão Jr A, Dantas L. Implante de lentes intra-oculares em crianças. Arq Bras Oftal 1995;58: 198-200.

2 Zwaan J, Mullaney PB, Awad A, AI -Mesfer S, Wheeler DT. Pediatric intraocular lens implantation. Surgical results and complications in more than 300 patients. Ophthalmology 1998 105:1 12-8.

3 Cavallaro B, Madigan P, O'Hara MA, Kramer KK, Bauman WC. Posterior chamber intraocular lens use in children. J Ped Ophth Strabismus 1998;35:254-63.

4 Tartarella MB, Kawakami LT, Scarpi MJ, Hayashi S, Bonomo PP. Aspectos cirúrgicos da catarata congênita. Arq Bras Oftal 1995;58:24-8.

5 Brauweiler P. Bimanual irrigation-aspiration. J Cataract Refract Surg 1996;22:1013-6.

6 Colvard DM. Bimanual technique to manage subincisional cortical material. J Cataract Refract Surg 1997;23:707-9.

7 Chroussos GA, Parks MM, O'Neil JF. Incidence of chronic glaucoma, retinal detachment and secondary membrane surgery in pediatric aphakic patients. Ophthalmology 1984;91:1238-41.

8 Toyofuku H, Hirose T, Scheppens CL. Retinal detachment following congenital cataract surgery. Preoperative findings in 114 eyes. Arch Ophthalmol 1980;98:669-75.

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