Teresa C Chen1, Lini S Bhatia, David S Walton. 1. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Glaucoma Service, Boston, Massachusetts 02114, USA.
Abstract
BACKGROUND AND OBJECTIVE: To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts. PATIENTS AND METHODS: Retrospective review of all patients seen by a pediatric ophthalmologist from 1970 to 2002. Patients were seen at a university-based clinical practice setting. This study defines the incidence of late post-lensectomy complications. Final long-term visual acuities were correlated with specific surgical complications and ocular and systemic anomalies. RESULTS: There were 193 eyes of 138 patients who had lensectomy for pediatric cataracts. The average follow-up time was 10.8 +/- 6.7 years (range, 3 months to 31.3 years). The most common postoperative complication was aphakic glaucoma (20.2%) at an average of 3.4 +/- 3.7 years after lensectomy surgery. At last follow-up, the median visual acuity was 20/40 in eyes without complications and 20/80 in eyes with complications. CONCLUSIONS: Aphakic glaucoma was the most common postoperative complication (20.2%). Most eyes with associated ocular and systemic anomalies and postoperative complications have poorer visual outcomes.
BACKGROUND AND OBJECTIVE: To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts. PATIENTS AND METHODS: Retrospective review of all patients seen by a pediatric ophthalmologist from 1970 to 2002. Patients were seen at a university-based clinical practice setting. This study defines the incidence of late post-lensectomy complications. Final long-term visual acuities were correlated with specific surgical complications and ocular and systemic anomalies. RESULTS: There were 193 eyes of 138 patients who had lensectomy for pediatric cataracts. The average follow-up time was 10.8 +/- 6.7 years (range, 3 months to 31.3 years). The most common postoperative complication was aphakic glaucoma (20.2%) at an average of 3.4 +/- 3.7 years after lensectomy surgery. At last follow-up, the median visual acuity was 20/40 in eyes without complications and 20/80 in eyes with complications. CONCLUSIONS:Aphakic glaucoma was the most common postoperative complication (20.2%). Most eyes with associated ocular and systemic anomalies and postoperative complications have poorer visual outcomes.
Authors: Mary Gilbert Lawrence; Natalia Y Kramarevsky; Stephen P Christiansen; Martha M Wright; Terri L Young; C Gail Summers Journal: Trans Am Ophthalmol Soc Date: 2005
Authors: Alparslan Sahin; Ihsan Caça; Abdullah Kürşat Cingü; Fatih Mehmet Türkcü; Harun Yüksel; Muhammed Sahin; Yasin Cinar; Seyhmus Ari Journal: Int J Ophthalmol Date: 2013-04-18 Impact factor: 1.779