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Journal of Ophthalmology
Volume 2017 (2017), Article ID 2370969, 7 pages
https://doi.org/10.1155/2017/2370969
Clinical Study

Clinical Characteristics and Surgical Procedures for Children with Congenital Membranous Cataract

1Department of Pediatric Ophthalmology, Guangzhou Children’s Hospital and Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong 510230, China
2Department of Pediatric Ophthalmology, Wuhan Children’s Hospital, Wuhan 430015, China
3Department of Ophthalmology, Shenzhen Longhua New District Central Hospital, Shenzhen, Guangdong 518110, China

Correspondence should be addressed to Daoman Xiang; moc.621@53mdgnaix and Wanhua Xie; moc.621@1auhnaweix

Received 7 March 2017; Revised 29 August 2017; Accepted 27 September 2017; Published 23 November 2017

Academic Editor: Usha P. Andley

Copyright © 2017 Jingji Long et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. In a group case series, the clinical characteristics of congenital membranous cataract in children were studied to establish a system of classification and determine the surgical method suited for each type. Methods. Children (18 eyes) with congenital membranous cataract were examined by slit lamp, ultrasound biomicroscopy, and operating microscopy to classify cataracts. The clinical characteristics of congenital membranous cataract and its feature related to the surgical method were analyzed. Results. Five major types of congenital membranous cataracts were classified. All of the surgeries were successful. Anterior and posterior capsulorhexis was performed using Klöti RF capsulotomy tips. The capsular flap was removed, and anterior vitrectomy was performed using a vitrectomy cutter. Postoperative complications included posterior capsule opacification in 16.7% of the patients. Conclusion. Ultrasound biomicroscopy was used successfully to classify congenital membranous cataracts prior to surgery. Anterior and posterior capsulorhexis was performed using Klöti RF capsulotomy tips, and capsulectomy was performed using a vitrectomy cutter. These were effective techniques and should be considered for congenital membranous cataract removal surgery. This trial is registered with registration number chiCTR-OOC-17010913.