Pediatric cataract extraction with intraocular lens implantation: Visual acuity outcome when measured at age four years and older

Ledoux, Danielle; Trivedi, Rupal H.; Wilson, M. Edward; Payne, John F.

doi:10.1016/j.jaapos.2006.11.003

Cited by 55 publications

(42 citation statements)

References 46 publications

(37 reference statements)

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“…Advancements in surgical technique and new developments in both contact lens and IOL technologies have also led to better visual outcomes for children who undergo cataract extraction. 12 Primary IOL implantation appears advantageous over secondary implantation or aphakia regarding postoperative visual outcomes in our study, which has also been demonstrated in previous studies. Lesueur et al 4 demonstrated that good prognosis depends on early diagnosis, timely surgery, and IOL implantation for both unilateral and bilateral cataract cases.…”

Section: Discussionsupporting

confidence: 88%

Visual acuity and its predictors after surgery for bilateral cataracts in children

Bonaparte

Trivedi

Ramakrishnan

et al. 2016

Eye

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Purpose The objective of this study was to investigate preoperative factors associated with postoperative visual acuity outcomes and to develop a model to predict visual acuity prognosis. Methods A retrospective study was conducted by reviewing clinical charts of pediatric patients who underwent bilateral cataract surgery by a single surgeon (MEW) at the Storm Eye Institute. A multiple logistic regression model was constructed to predict the odds of poor postoperative visual acuity, that is, worse than 20/40, based on age at surgery, gender, primary intraocular lens (IOL) placement, ethnicity, and preoperative nystagmus. Results A sample size of 157 children (314 eyes) was investigated with median duration of follow-up of 6.4 years. A total of 78% of children with bilateral cataract had postoperative visual acuity of 20/40 or better. The presence of preoperative nystagmus was highly correlated with poor postoperative visual acuity (OR = 6.0; 95% CLs, 2.5-14.1; P-valueo0.0001). Children of age o1 year at time of cataract extraction (OR = 3.2; 95% CLs, 1.4-7.6; P-value = 0.0073), male gender (OR = 2.3; 95% CLs, 1.1-4.5; P-value = 0.02), the absence of primary IOL placement (OR = 3.0; 95% CLs, 1.05-8.4; P-value = 0.04), and non-Caucasian ethnicity (OR = 2.0; 95% CLs, 1.02-4.03; P-value 0.0447) were associated with poor visual acuity postoperatively. Conclusions Satisfactory visual outcomes occurred in 78% of children operated on for bilateral cataracts. Preoperative nystagmus, age o1 year at time of cataract extraction, absence of primary IOL placement, male gender, and non-Caucasian ethnicity, were all factors associated with poor postoperative visual acuity.

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Section: Discussionsupporting

confidence: 88%

Visual acuity and its predictors after surgery for bilateral cataracts in children

Bonaparte

Trivedi

Ramakrishnan

et al. 2016

Eye

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“…Better binocularity and stereopsis in patients with an IOL have also been reported over age-matched controls with aphakia. 22 The trend toward lower visual acuity in patients with unilateral cataracts 7,23 was not observed in our study. This may have been the result of the heterogeneous nature of our study sample, which included patients with traumatic cataracts.…”

Section: Discussioncontrasting

confidence: 67%

Management and outcomes of cataract in children: The Toronto experience

Lim

Rubab

Chan

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

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“…Ledoux DM et al [25] reported that the mean visual acuity of infantile pseudophakic children surgery at an age less than 1 year was 20/258 and 20/60, while the mean visual acuity of all pediatric eyes from birth to 18 years was 20/80 and 20/34 in unilateral and bilateral groups; usually the infants had poorer visual acuity outcome than the older categories [25]. Our results showed that the mean bestcorrected visual acuity (logMAR) was 0.98 (20/191) and 0.50 (20/63) for unilateral and bilateral groups, which are similar to the above study.…”

Section: Discussionmentioning

confidence: 99%

Visual results and complications of primary intraocular lens implantation in infants aged 6 to 12 months

Luo

et al. 2010

Graefes Arch Clin Exp Ophthalmol

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Primary IOL implantation was safe and effective for infantile cataract surgery. Total or unilateral cataract, nystagmus or strabismus, and inadequate amblyopic therapy were predictors of poor BCVA. Significant myopic shifts occurred especially in infants in the first year of surgery. The pseudophakic eye had a similar growth rate, as measured by axial length, to that of the fellow normal eye, in unilateral cases.

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Pediatric cataract extraction with intraocular lens implantation: Visual acuity outcome when measured at age four years and older

Cited by 55 publications

References 46 publications

Visual acuity and its predictors after surgery for bilateral cataracts in children

Visual acuity and its predictors after surgery for bilateral cataracts in children

Management and outcomes of cataract in children: The Toronto experience

Visual results and complications of primary intraocular lens implantation in infants aged 6 to 12 months

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