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¹Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Asist. Dr.
²Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Uzm. Dr.
³Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Prof. Dr. Purpose: To evaluate the clinical findings in patients with anterior polar cataract.
Materials and Methods: We retrospectively evaluated the patients who were examined for anterior polar cataract in Dokuz Eylul University Pediatric Ophthalmology Department between 1997 and 2007 in terms of age, gender, final visual acuity, follow-up period, laterality, cycloplegic refraction, presence of pupillary membrane, type of associated strabismus and associated amblyopia. The relationship between amblyopia and anisometropia was evaluated.
Results: Eleven patiens had unilateral, 4 patients had bilateral cataract. Mean age in initial examination was 52.4±64.5 months (2 months-192 months). The mean age was 77.4±71.4 months (9 months-252 months) at last examination. There was no strabismus and anisometropia in the patients with bilateral cataract. Three (24%) of the patients with unilateral cataract had esotropia. Eleven (100%) of the patients with unilateral cataract had amblyopia. Seven (64%) of the patients with unilateral cataract had anisometropia. Occlusion therapy was carried out in 7 of the patients with amblyopia. One eye had progression and needed to have cataract surgery. Three patients had pupillary membrane associated with anterior polar cataract.
Conclusion: Unilateral anterior polar cataract usually causes amblyopia. Anisometropia and strabismus can cause to increase the severity of the amblyopia. Carefull cycloplegic refraction should be carried out in anterior polar cataract patients, anisometropia should be corrected and the patients should be followed with occlusion therapy for progression and amblyopia. Keywords : Anterior polar cataract, amblyopia, anisometropia