2019Klinische Monatsblätter für AugenheilkundeRequires access

Thermocautery Capsulotomy in a Child with Juvenile Arthritis-Related Cataract

Sophie Lopez Baumann, David Tabibian, Kattayoon Hashemi, Alexandre Moulin, Yan Guex‐Crosier, Georgios Kymionis

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Abstract

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.

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What this paper is about

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.

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Available abstract

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.

Key concepts: Capsulorhexis, Capsulotomy, Medicine, Posterior Capsulotomy, Uveitis, Ophthalmology, Cataract surgery, Diathermy

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