ESCRS - PO270 - MANAGING REFRACTIVE ERROR IN POST-CONGENITAL CATARACT SURGERY

MANAGING REFRACTIVE ERROR IN POST-CONGENITAL CATARACT SURGERY

Published 2025 - 29th ESCRS Winter Meeting

Reference: PO270 | Type: Case Report (Cornea Day) | DOI: 10.82333/k20k-ff75

Authors: Johann A Kruger* 1

1Health Sciences Faculty Ophthalmology,University of Stellenbosch ,Cape Town,South Africa;Eye & Laser Clinic ,Tygervalley ,CAPE TOWN,South Africa;ossa,CAPE TOWN,South Africa

Purpose

This is a case study of how a unilateral congenital cataract patient was managed. 

Setting

Tygervalley Eye and Laser Clinic

Report of case

The patient was operated for a unilateral cataract at age 3. At age 8 the anisometropia was managed with an add on Staar Implantantable contact lens.

At age thirty three she again presented with myopic astigmatism in that eye and high myopia in the fellow eye. The eye with ICL then had femtolasik to correct myopia and myopic astigmatism. The fellow eye had femto assisted adtigmatic keratotomy and an implanted phacic implant ( IPCL) in the sulcus of the eye.

 

The outcome was perfect with 20/20 vision..

Conclusion / Take home message

Ametropia in congenital cararact cases can be effectively managed with corneal laser or phacic implants. Anisometropia should be managed to prevent amblyopia.