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April 09, 2023
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VIDEO: Challenges and intelligent solutions for pediatric cataract surgery

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Key takeaways:

  • Pediatric cataract surgery is challenging to learn and perform.
  • Bag-in-the-lens is a safe technique.
  • The anterior interface is involved in the mechanism of accommodation.

VILAMOURA, Portugal — At the ESCRS winter meeting, Marie-José Tassignon, MD, PhD, speaks about the challenges of pediatric cataract surgery.

She explains why infants should not be operated before 2 months of age, which is the limit in her country, Belgium, as well as in Sweden. Training in pediatric cataract surgery is also a challenge, and wet labs like the one held at this meeting are a useful opportunity.

Finally, she speaks about her bag-in-the-lens technique, which reduces the incidence of secondary cataract, the No. 1 complication in pediatric cataract surgery, and does not require anterior vitrectomy.

Tassignon’s latest discovery was that the anterior interface is important in the mechanism of accommodation. “So, keep it intact, as much as you can,” she said.