A survey of the surgical treatment of congenital and developmental cataracts in Japan

Toshiyuki Nagamoto, Tetsuro Oshika, Takashi Fujikado, Tatsuro Ishibashi, Miho Sato, Mineo Kondo, Daijiro Kurosaka, Noriyuki Azuma

Research output: Contribution to journalArticle

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Abstract

Purpose: To understand the current practice pattern for the surgical treatment of congenital/developmental cataracts in Japan. Methods: A mail questionnaire was sent to facilities engaged in thesurgical treatment of congenital cataracts in Japan. Results: Thirty-four facilities reported their preferred methods for the surgical treatment of congenital cataracts, including data from 809 eyes of 508 patients who had undergone surgery. More than 85 % of the respondents answered that they would consider surgery even if the visual prognosis was not promising because of possible form-deprivation amblyopia. The most commonly performed surgical maneuvers were scleral tunnel incision (88.4 %), 3.0-mm or smaller incision (78.8 %), manual anterior continuous curvilinear capsulorhexis (90.2 % success rate), posterior capsulotomy (92.5 % for patients aged ≤6 years), anterior vitrectomy by the limbal approach (85.9 % for patients aged ≤6 years), and wound closure with sutures (93.2 %). Posterior capsulotomy and vitrectomy were not usually performed in patients aged >6 years. Implantation of an intraocular lens (IOL) was mostly indicated in patients aged 2 years or older. Implantation of an acrylic foldable IOL (76.6 %) into the capsular bag (89.7 %) was the most common practice among the surgeons. Conclusions: Small incision surgery with implantation of an acrylic foldable IOL into the capsular bag combined with posterior capsulotomy was the preferred surgical treatment of choice for congenital/developmental cataracts.

Original languageEnglish
Pages (from-to)203-208
Number of pages6
JournalJapanese Journal of Ophthalmology
Volume59
Issue number4
DOIs
Publication statusPublished - Jul 23 2015

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Cataract
Posterior Capsulotomy
Japan
Intraocular Lenses
Vitrectomy
Capsulorhexis
Therapeutics
Amblyopia
Intraocular Lens Implantation
Postal Service
Sutures
Surveys and Questionnaires
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Ophthalmology

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A survey of the surgical treatment of congenital and developmental cataracts in Japan. / Nagamoto, Toshiyuki; Oshika, Tetsuro; Fujikado, Takashi; Ishibashi, Tatsuro; Sato, Miho; Kondo, Mineo; Kurosaka, Daijiro; Azuma, Noriyuki.

In: Japanese Journal of Ophthalmology, Vol. 59, No. 4, 23.07.2015, p. 203-208.

Research output: Contribution to journalArticle

Nagamoto, T, Oshika, T, Fujikado, T, Ishibashi, T, Sato, M, Kondo, M, Kurosaka, D & Azuma, N 2015, 'A survey of the surgical treatment of congenital and developmental cataracts in Japan', Japanese Journal of Ophthalmology, vol. 59, no. 4, pp. 203-208. https://doi.org/10.1007/s10384-015-0385-1
Nagamoto, Toshiyuki ; Oshika, Tetsuro ; Fujikado, Takashi ; Ishibashi, Tatsuro ; Sato, Miho ; Kondo, Mineo ; Kurosaka, Daijiro ; Azuma, Noriyuki. / A survey of the surgical treatment of congenital and developmental cataracts in Japan. In: Japanese Journal of Ophthalmology. 2015 ; Vol. 59, No. 4. pp. 203-208.
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