Long-term follow-up of changes in corneal endothelium after primary and secondary intraocular lens implantations in children

Kim, Mi Jeung; Kim, Jeong Hun; Kim, Seong Joon; Yu, Young Suk

doi:10.1007/s00417-011-1872-9

Cited by 2 publications

(3 citation statements)

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“…The presence of secondary glaucoma, glaucoma suspicion and unilateral surgery were significant predictors of increased central corneal thickness. The association between secondary glaucoma and increased central corneal thickness have already been described in other studies 21,22 . Several studies have also described increased central corneal thickness in aphakic and pseudophakic eyes of children without secondary glaucoma when compared with healthy fellow eyes 21–24 .…”

Section: Discussionsupporting

confidence: 61%

“…The association between secondary glaucoma and increased central corneal thickness have already been described in other studies. 21,22 Several studies have also described increased central corneal thickness in aphakic and pseudophakic eyes of children without secondary glaucoma when compared with healthy fellow eyes. [21][22][23][24] One theory is that the increased central corneal thickness is induced by cataract surgery, 22 however central corneal thickness in operated non-glaucoma eyes was not increased in this study when compared with control eyes.…”

Section: Discussionmentioning

confidence: 99%

“…21,22 Several studies have also described increased central corneal thickness in aphakic and pseudophakic eyes of children without secondary glaucoma when compared with healthy fellow eyes. [21][22][23][24] One theory is that the increased central corneal thickness is induced by cataract surgery, 22 however central corneal thickness in operated non-glaucoma eyes was not increased in this study when compared with control eyes. Others have ascribed the thicker cornea after childhood cataract surgery to contact lens wear.…”

Section: Discussionmentioning

confidence: 99%

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Biometry and corneal aberrations after cataract surgery in childhood

Hansen

Bach‐Holm

Kessel

2022

Clinical Exper Ophthalmology

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Background: To report long-term biometric and refractive outcomes in a group of Danish children after surgery for childhood cataract. Methods: Children between 7 and 18 years who had undergone uni-or bilateral cataract surgery at the Department of Ophthalmology, Rigshospitalet, Denmark, were examined in this cross-sectional study. Swept source optical coherence tomography (OCT) based optical biometry (IOLmaster 700) and anterior tomography (Pentacam) was performed. Healthy fellow eyes from those with unilateral cataract were used as controls.Results: We included 56 children in the study with a median age at surgery of 43.8 months (1.6-137.6). The amount of higher order aberrations was significantly increased in operated eyes (median root mean square 0.461 μm [range 0.264-1.484]) compared with non-operated eyes (median root mean square 0.337 μm [range 0.162-0.498], p < 0.001). Younger age at surgery was positively associated with more higher order aberrations at follow-up (p < 0.001), but we found no significant associations between the amount of higher order aberrations and visual acuity or contrast vision. Longer axial length was associated to glaucoma while shorter axial length was associated to strabismus (p < 0.001).Conclusions: Eyes operated for childhood cataract have higher order aberrations compared with non-operated eyes. Higher order aberrations are complex refractive errors that cannot be corrected by normal lenses and may contribute to poor visual outcomes for the children. We found an association between young age at surgery and higher order aberrations.

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Section: Discussionsupporting

confidence: 61%