Klin Monbl Augenheilkd 2019; 236(04): 407-409
DOI: 10.1055/a-0774-7792
Der interessante Fall
Georg Thieme Verlag KG Stuttgart · New York

Thermocautery Capsulotomy in a Child with Juvenile Arthritis-Related Cataract

Kapsulotomie durch Thermokauterisation in einer juvenilen idiopathischen arthritisassoziierten Katarakt
Sophie Lopez Baumann
Ophthalmology, University of Lausanne, Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland
,
David Tabibian
Ophthalmology, University of Lausanne, Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland
,
Kattayoon Hashemi
Ophthalmology, University of Lausanne, Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland
,
Alexandre Moulin
Ophthalmology, University of Lausanne, Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland
,
Yan Guex-Crosier
Ophthalmology, University of Lausanne, Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland
,
Georgios Kymionis
Ophthalmology, University of Lausanne, Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland
› Author Affiliations
Further Information

Publication History

received 17 September 2018

accepted 09 October 2018

Publication Date:
27 March 2019 (online)

Background

Cataract surgery in pediatric uveitic patients is often arduous and can be related to many intraoperative and postoperative complications. Pediatric cataract surgeons can use several techniques to perform a capsulorhexis, including vitrectorrhexis, can-opener capsulotomy, radiofrequency diathermy capsulotomy, plasma ablation blade, or even the use of a femtosecond laser, but published reports about the technique used to perform a capsulorhexis in uveitic pediatric cataract are sparse. We report a case of pediatric uveitic cataract where the surgeon successfully used thermocautery capsulotomy with excellent postoperative inflammation management.

 
  • References

  • 1 Wilson ME. Anterior lens capsule management in pediatric cataract surgery. Trans Am Ophthalmol Soc 2004; 102: 391-422
  • 2 Vasavada V. Paradigms for Pediatric Cataract Surgery. Asia Pac J Ophthalmol (Phila) 2018; 7: 123-127
  • 3 Khokhar SK, Pillay G, Agarwal E. et al. Innovations in pediatric cataract surgery. Indian J Ophthalmol 2017; 65: 210-216
  • 4 Dick HB, Schelenz D, Schultz T. Femtosecond laser-assisted pediatric cataract surgery: Bochum formula. J Cataract Refract Surg 2015; 41: 821-826
  • 5 Singh D. Use of the Fugo blade in complicated cases. J Cataract Refract Surg 2002; 28: 573-574
  • 6 Krag S, Thim K, Corydon L. Diathermic capsulotomy versus capsulorhexis: a biomechanical study. J Cataract Refract Surg 1997; 23: 86-90
  • 7 Mehta S, Linton MM, Kempen JH. Outcomes of cataract surgery in patients with uveitis: a systematic review and meta-analysis. Am J Ophthalmol 2014; 158: 676-692.e7
  • 8 Quiñones K, Cervantes-Castañeda RA, Hynes AY. et al. Outcomes of cataract surgery in children with chronic uveitis. J Cataract Refract Surg 2009; 35: 725-731
  • 9 Lam DS, Law RW, Wong AK. Phacoemulsification, primary posterior capsulorhexis, and capsular intraocular lens implantation for uveitic cataract. J Cataract Refract Surg 1998; 24: 1111-1118
  • 10 Grajewski RS, Zurek-Imhoff B, Roesel M. et al. Favourable outcome after cataract surgery with IOL implantation in uveitis associated with juvenile idiopathic arthritis. Acta Ophthalmol 2012; 90: 657-662