Pars Plana Lensectomy and Intraocular Lens Implantation in Pediatric Radiation-Induced Cataracts in Retinoblastoma

Cataract Surgery in Patients with a History of Retinoblastoma and Melanoma

“…Table 1 demonstrates that there has been a wide range of approaches to these controversies in retinoblastoma patients. Our group, Miller et al (2005) reported good visual and anatomic results in 16 patients after ECCE/PPV/PCIOL. Payne et al (2008) also reported good results with an ECCE approach with a capsulotomy, anterior vitrectomy, and IOL placed only in some patients.…”

“…The data from Table 1 suggests that visual outcomes in these patients can be surprisingly excellent. In particular, the studies by Miller et al (2005), Payne et al (2008), and Hoehn et al (2010) reported good visual results and no major complications. Patients in this population have many other reasons to have poor visual outcomes including tumor involvement of the macula, radiation retinopathy, progressive retinal scarring from laser or cryotherapy treatments, and amblyopia.…”

Phacoemulsification and foldable acrylic IOL implantation in children with treated retinoblastoma

“…Miller et al (14) , described good results after pars plana lensectomy and IOL implantation in radiation-induced cataracts in children with RB.…”

Cataract Surgery in Retina Patients

“…Although Brooks et al advised against pars plana approachs based on their experience of tumor recurrence, other series have not reported tumor recurrences with pars plana insicions (Brooks et al, 1990). Miller and associates reported a series of 16 eyes, all of which underwent a combined pars plana vitrectomy and cataract extraction, and showed no evidence of tumor recurrence in their series (Miller et al 2005). Payne et al have also shown that limbal approach was not associated with tumor recurrence or metastasis (Payne et al, 2009).…”

“…Cataract formation is one of the most common ocular complications of external beam radiotherapy for retinoblastoma, which typically occurs in three years following treatment (Schipper et al, 1985;Miller et al 2005). Studies have shown that cataract surgery in patients who have previously received radiation therapy for retinoblastoma is generally not associated with tumor recurrence or spread (Brooks et al, 1990;Portellos and Buckley, 1998).…”