1M.D. Asistant, Ege University Faculty of Medicine, Department of Ophthalmology, Izmir/TURKEY 2M.D., Ege University Faculty of Medicine, Department of Ophthalmology, Izmir/TURKEY 3M.D. Professor, Private Ophthalmologist, Izmir/TURKEY 4M.D. Professor, Ege University Faculty of Medicine, Department of Ophthalmology, Izmir/TURKEY
Purpose: To evaluate the results and complications of congenital cataract surgery in eyes with persistent fetal vasculature (PFV) under 1 year old.
Materials and Methods: Ten eyes of 10 patients with PFV who underwent congenital cataract surgery in our clinic, between the years 2005-
2015, were included. Medical records of the patients in regards to pre and post-operative ocular findings, surgical results and complications
were evaluated retrospectively.
Results: The mean age of patients (5 girls, 5 boys) at the time of surgery was 5.25±3.88 (Median: 3, 1-12) months and the mean follow-up
time was 30.5±33.12 (Median: 28, 3-96) months. All eyes were diagnosed as anterior type of PFV. All cases were underwent lensectomy and
anterior vitrectomy through limbal approach. At the end of the follow-up, visual acuity could be determined in 6 eyes, best corrected visual
acuities were 0.5 in 1, 0.1 in 3and 0.05 in 2 eyes. In remaining 4 patients who were unable to perform visual acuity testing, object perception and
trackingwas observed. Early postoperative complications were anterior segment reaction in 4, hemorrhage in anterior vitreous in 1, subretinal
hemorrhage near the optic disc in 1, extensive lens epithelial cell proliferation in 1 and capsular phimosis in 1 eyes. In the long term, glaucoma
developed in 7 eyes and strabismus developed in 6 eyes.
Conclusion: Reasonable visual outcomes with successful surgery and visual rehabilitation could be achieved in patients with PFV. Since glaucoma
is reported as a common postoperative complication, long term follow-up of these patients is crucial.