How should we manage an amblyopic patient with cataract?

Hale, Julia; Murjaneh, S; Frost, N A; Harrad, R A

doi:10.1136/bjo.2005.080689

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…Performing surgical procedures in amblyopic eyes may seem to be controversial. There are only a few publications that have specifically addressed amblyopia and cataract surgery [ 8 – 10 ]. As reported by Hale et al ., the decision to operate on the amblyopic eye depends on a clear understanding of the possible symptoms, functional impairments and surgical outcomes [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Is it appropriate to perform anterior segment reconstruction in amblyopic eye following penetrating trauma in childhood?

Skopiński¹,

Szulborski²,

Struzik³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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We present a case of diagnostic and surgical management in an amblyopic eye following penetrating trauma in childhood. The 75-year-old female patient experienced the trauma at the age of 4. The eye was amblyopic, but after thorough investigations (ultrasonography, ultrabiomicroscopy, visual evoked potentials) the eye underwent anterior segment reconstruction. Visual evoked potentials allowed us to assess optic nerve function, while ultrabiomicroscopy allowed us to plan the surgical procedure. Although we observed quite a small visual acuity improvement, the subjective improvement reported by the patient was fairly significant (NEI VFQ-25 questionnaire). The cosmetic effect of the black pupil was also important.

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Section: Discussionmentioning

confidence: 99%

Is it appropriate to perform anterior segment reconstruction in amblyopic eye following penetrating trauma in childhood?

Skopiński¹,

Szulborski²,

Struzik³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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show abstract

“…In these patients, it is difficult to determine the level of visual loss that is due to the opacity of the crystalline lens as opposed to the amblyopic process. 2 Furthermore, few studies have specifically addressed the benefits of cataract surgery in adult amblyopic eyes, although reports from European registries suggest that amblyopia is a risk factor for poorer visual and refractive outcomes. [3][4][5] As regards the use of toric intraocular lenses (IOLs), studies evaluating outcomes frequently exclude patients with amblyopia.…”

Section: Introductionmentioning

confidence: 99%

Visual and refractive outcomes of monofocal toric intraocular lens implantation in amblyopic eyes

Rementería-Capelo

Fernández-Cuenca

Gros-Otero

et al. 2022

European Journal of Ophthalmology

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Purpose To evaluate the visual and refractive outcomes of monofocal toric intraocular lens (IOL) implantation after cataract surgery in amblyopic eyes Methods Our center’s database was used to identify patients who had undergone bilateral cataract surgery between 2016 and 2020 with the implantation of a toric IOL in their amblyopic eye. Exclusion criteria were the presence of strabismus, ocular pathologies other than cataract or intra-surgical complications. The outcomes analysed were uncorrected distance visual acuity (UDVA), subjective refraction and corrected distance visual acuity (CDVA) one month after surgery. Results Ninety patients were included, with a mean age of 68.96 ± 7.81years. CDVA was lower for the amblyopic eye, both before and after surgery. There was a mean improvement in CDVA of 0.23 ± 0.21 LogMAR for the dominant eye and of 0.39 ± 0.33 for the amblyopic eye, p < 0.001 in both cases. Postoperative subjective refractive cylinder was higher in the amblyopic eye (-0.24 ± 0.39 D versus −0.10 ± 0.25 D, p < 0.01), as well as mean cylinder prediction error (-0.30 ± 0.47 D versus 0.02 ± 0.42 D, p < 0.01), compared to the dominant eye. There was a statistically significant correlation between preoperative and postoperative CDVA in amblyopic eyes (Spearmańs Rho = 260, p = 0.013). Mean postoperative UCVA was 0.15 ± 0.25 for amblyopic and 0.03 ± 0.12 for dominant eyes. Only one patient required distance spectacle correction due to residual astigmatism. Conclusions Cataract surgery with toric IOL implantation in amblyopic eyes leads to an improvement in visual acuity and to spectacle independence in almost all cases, even in the presence of a higher cylinder prediction error.

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“…Visual outcomes after cataract surgery in adults with presumed amblyopia and anisomyopia Tommy C. Y. Chan, 1,2 Jasmine K. M. Lam, 1,2 Alex L. K. Ng, 3 Cong Ye 2 and Vishal Jhanji Editor, I t was estimated that about 3% of all cataract surgeries in adults were performed in eyes that have pre-existing amblyopia (Hale et al 2006). There has been a long-standing belief that eyes with amblyopia have limited benefit from cataract extraction in the adult age.…”

mentioning

confidence: 99%

“…There has been a long-standing belief that eyes with amblyopia have limited benefit from cataract extraction in the adult age. There is no consensus in timing and sequence of cataract surgery in this group of patients (Hale et al 2006). Nowadays, devices have limited predictability in visual outcome following cataract extraction, particularly with dense cataracts (Douthwaite et al 2007).…”

mentioning

confidence: 99%

Visual outcomes after cataract surgery in adults with presumed amblyopia and anisomyopia

Chan

Lam

et al. 2016

Acta Ophthalmologica

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How should we manage an amblyopic patient with cataract?

Cited by 10 publications

References 14 publications

Is it appropriate to perform anterior segment reconstruction in amblyopic eye following penetrating trauma in childhood?

Is it appropriate to perform anterior segment reconstruction in amblyopic eye following penetrating trauma in childhood?

Visual and refractive outcomes of monofocal toric intraocular lens implantation in amblyopic eyes

Visual outcomes after cataract surgery in adults with presumed amblyopia and anisomyopia

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