Outcomes of pediatric cataract surgery in anterior persistent fetal vasculature

Vasavada, Abhay R.; Vasavada, Shail; Bobrova, N.; Praveen, Mamidipudi R.; Shah, Sajani K.; Vasavada, Vaishali; A, Jeicce Valentina Pardo; Raj, Shetal M.; Trivedi, Rupal H.

doi:10.1016/j.jcrs.2011.11.045

Cited by 43 publications

(21 citation statements)

References 21 publications

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“… Lamellar cataract had a better prognosis.  Intervention at an early age had a better prognosis in the non-traumatic group, while late intervention [6][7][8][9][10][11][12][13][14][15][16][17][18] had a better prognosis in the traumatic group.…”

Section: Discussionmentioning

confidence: 99%

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Factors Affecting Visual Outcome Following Surgical Treatment of Cataracts in Children

Shah¹,

Shah²,

Shikhangi³

et al. 2012

OJOph

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Purpose: To assess treatment results in pediatric patients with cataracts, to evaluate the efficacy of various surgical interventions, and to determine the factors that affect visual outcomes. Methods: This is aProspective cohort study. We studied a consecutive series of pediatric patients with congenital, developing, or traumatic cataracts who underwent surgery between January, 1999 and April, 2012 at Drashti Netralaya, Dahod. Patient demographics, cataract type, presenting symptoms, surgical intervention, postoperative visual acuity, and follow-up refractive changes were recorded. Results: In total, 1305 eyes of 1047 children were included: unilateral cataracts were present in 786 (60.2%) eyes. There were 610 (46.7%) traumatic and 695 (53.3%) non-traumatic cases. Ages at surgery ranged from 1 to 215 months. Eyes were grouped by the surgical intervention performed: Group 1, pars plana approach including 366 (28%) eyes that underwent lensectomies, and Group 2, anterior approach, including 939 (71.9%) eyes that underwent phacoemulsification ± IOL placement or small incision cataract surgery ±IOL placement. The mean follow-up time was 117 days. Ultimately, 113 (30.9%) Group 1 and 503 (53.6%) Group 2 patients achieved a visual acuity better than 20/60 (P < 0.001). Age at intervention, laterality, sensory nystagmus, pre-treatment vision, IOL insertion, and etiology were all significantly related (all P < 0.001) to visual outcome. Conclusions: Surgical treatment with intraocular lens implantation for children with congenital, developmental, or traumatic cataracts is an effective treatment for visual rehabilitation. Visual outcome was significantly better in cases of traumatic cataracts versus non-traumatic cataracts.

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Section: Discussionmentioning

confidence: 99%

“…Pediatric cataracts are responsible for more than one million cases of childhood blindness in Asia. In developing countries, such as India, 7.4% -15.3% of childhood blindness is due to cataracts [8,9]. Internationally, the incidence is unknown.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Visual Outcome Following Surgical Treatment of Cataracts in Children

Shah¹,

Shah²,

Shikhangi³

et al. 2012

OJOph

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“…The goal of this study is to report technical feasibility of intraocular lens implantation in the first 18 months of the life and to reconfirm the incidence of anterior persistent fetal vasculature at a minimal level, complicated with congenital cataract, as described in the literature (Morrison et al 2011; Mullner-Eidenbock et al 2004; Vasavada et al 2012). The standard surgical method for lensectomy in infants, described in textbooks and literatures, is pars plana vitrectomy, or more accurately, pars plicata vitrectomy, since the anterior-to-posterior width of the pars plana is narrow in infants.…”

Section: Discussionmentioning

confidence: 88%

“…In this context, lensectomy combined with vitrectomy is a standard treatment for unilateral cataract with persistent fetal vasculature. Intraocular lens implantation was performed in some cases (Morita et al 2001; Morrison et al 2011; Vasavada et al 2012). In the presence of cataract, persistent fetal vasculature is detected usually by ultrasound examination at ophthalmology clinics.…”

Section: Discussionmentioning

confidence: 99%

“…The extent of lens opacity is usually similar between both eyes. In contrast, unilateral cataracts are sporadic and sometimes associated with other anomalies such as persistent hyperplastic primary vitreous (Morrison et al 2011; Mullner-Eidenbock et al 2004; Vasavada et al 2012). The persistent hyperplastic primary vitreous (PHPV) is the presence of fetal hyaloid vascular system or its remnant in the vitreous cavity at birth (Dass and Trese 1999; Goldberg 1997; Haddad et al 1978; Hunt et al 2005; Peyman et al 1976; Pollard 1997; Reese 1955).…”

Section: Introductionmentioning

confidence: 99%

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Intraocular lens implantation in unilateral congenital cataract with minimal levels of persistent fetal vasculature in the first 18 months of life

Matsuo

2014

SpringerPlus

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PurposeTo describe the incidence of unilateral congenital cataract associated with minimal (ultrasonically undetectable) levels of persistent fetal vasculature in the first 18 months of the life and to report surgical methods for intraocular lens implantation, using 25-gauge vitrectomy system.MethodsRetrospective review was made on 16 consecutive patients with bilateral or unilateral congenital cataract in the first 18 months of the life who underwent surgery at Okayama University Hospital after the introduction of the 25-gauge vitrectomy system from October 2005 to March 2013. As the standard of care at this hospital in the study period, intraocular lenses were not implanted in children with bilateral cataract while intraocular lenses were implanted in those with unilateral cataract.ResultsTen children with bilateral cataract underwent lensectomy in both eyes with a 25-gauge vitreous cutter under irrigation with a 25-gauge infusion cannula, inserted from two side ports at the corneal limbus. Six children with unilateral cataract underwent intraocular lens implantation and posterior capsulotomy after lens aspiration from limbal side ports. No patient showed vitreous abnormalities on ultrasound examinations before the surgery. At the surgery, all 10 children with bilateral cataract showed no additional abnormalities. In contrast, 3 children with unilateral cataract at the age younger than 12 months showed white fibrous tissue in the anterior vitreous integrated with the posterior lens capsule while the other 3 children with unilateral cataract at the age from 12 to 18 months did not have vitreous abnormalities. The fibrous tissue was cut together in the process of posterior capsulotomy from a 25-gauge trocar inserted at 1.5 mm posterior from the corneal limbus.ConclusionsUnilateral congenital cataract in the first 12 months of the life has a high incidence for the association with anterior type of persistent fetal vasculature which could not be detected by preoperative ultrasound examinations. Intraocular lens implantation was technically feasible in unilateral cataract with or without minimal levels of persistent fetal vasculature in the first 18 months of the life.

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Cataract in Pediatric Age Group: A Review

Shah¹,

Shah²

2014

Oxidative Stress in Applied Basic Research and Clinical Practice

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Outcomes of pediatric cataract surgery in anterior persistent fetal vasculature

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 43 publications

References 21 publications

Factors Affecting Visual Outcome Following Surgical Treatment of Cataracts in Children

Factors Affecting Visual Outcome Following Surgical Treatment of Cataracts in Children

Intraocular lens implantation in unilateral congenital cataract with minimal levels of persistent fetal vasculature in the first 18 months of life

Cataract in Pediatric Age Group: A Review

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