PURPOSE: To evaluate the refractive status, axial length, and refractive power of the cornea in pediatric patients after unilateral cataract surgery and intraocular lens implantation. METHODS: Refractive state, refractive power of cornea, and axial length were measured both in the operated and nonoperated eyes in 15 patients (age at surgery = 5 to 15 years; mean, 10.3) before and 4 to 15 years (mean, 9.7) after unilateral cataract surgery. RESULTS: After surgery, visual acuity was 20/40 or better in 79% of operated eyes. Myopic changes, representing the difference between postoperative refraction at last follow-up and postoperative refraction at 1 year after surgery, were noted in the operated eyes at the end of study (mean, -5.02 D), but there were no significant differences in axial length (Wilcoxon signed rank test P >.05) or refractive power of the cornea between operated and nonoperated eyes (paired Student t test P >.05). CONCLUSION: Myopic shift after cataract surgery with intraocular lens implantation may occur even in older children.
PURPOSE: To evaluate the refractive status, axial length, and refractive power of the cornea in pediatric patients after unilateral cataract surgery and intraocular lens implantation. METHODS: Refractive state, refractive power of cornea, and axial length were measured both in the operated and nonoperated eyes in 15 patients (age at surgery = 5 to 15 years; mean, 10.3) before and 4 to 15 years (mean, 9.7) after unilateral cataract surgery. RESULTS: After surgery, visual acuity was 20/40 or better in 79% of operated eyes. Myopic changes, representing the difference between postoperative refraction at last follow-up and postoperative refraction at 1 year after surgery, were noted in the operated eyes at the end of study (mean, -5.02 D), but there were no significant differences in axial length (Wilcoxon signed rank test P >.05) or refractive power of the cornea between operated and nonoperated eyes (paired Student t test P >.05). CONCLUSION: Myopic shift after cataract surgery with intraocular lens implantation may occur even in older children.
Authors: M Edward Wilson; Rupal H Trivedi; David R Weakley; George A Cotsonis; Scott R Lambert Journal: Ophthalmology Date: 2017-02-10 Impact factor: 12.079
Authors: M Edward Wilson; Rupal H Trivedi; David R Weakley; George A Cotsonis; Scott R Lambert Journal: Am J Ophthalmol Date: 2020-04-15 Impact factor: 5.258
Authors: Scott R Lambert; Michael J Lynn; Lindreth G DuBois; George A Cotsonis; E Eugenie Hartmann; M Edward Wilson Journal: Invest Ophthalmol Vis Sci Date: 2012-11-07 Impact factor: 4.799