Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
Journal Title: TÜRK OFTALMOLOJİ DERGİSİ - Year 2018, Vol 48, Issue 1
Abstract
Objectives: The aim of this study was to evaluate the outcomes of pediatric developmental cataract surgery with primary intraocular lens (IOL) implantation. Materials and Methods: Patients between 2 and 16 years old who underwent cataract surgery with primary IOL implantation were retrospectively evaluated. Age at time of surgery, pre- and postoperative best corrected visual acuities, postoperative ocular complications, and any accompanying ocular pathologies were obtained from the patients’ charts. Mean refractive changes and degree of myopic shift were analyzed according to the age groups. Operated eyes were also compared with the fellow eyes in unilateral cases. Results: A total of 101 eyes of 65 patients were included. The average age at time of surgery was 76±40 months and the average follow-up period was 44±30 months. Among the 78 eyes that could be assessed for visual acuity improvement, 66 (84.6%) of them showed ≥2 lines of improvement. The difference in the mean refractive change between the 2-5 years old and 8-16 years old age groups was found to be statistically significant. However, the mean refractive change per year was not found to be significant between the same age groups. In unilateral cases, the operated eyes showed a greater myopic change than the fellow eyes, with no statistically significant difference. The most common postoperative complication was visual axis opacity. Conclusion: Good visual outcomes can be achieved following pediatric cataract surgery with primary IOL implantation. Optic axis opacities were the most common postoperative complications. Overall, refractive changes following surgery are inevitable, and more prominent in younger age groups.
Authors and Affiliations
Elif Demirkılınç Biler, Şeyda Yıldırım, Önder Üretmen, Süheyla Köse
Keywords
Related Articles
- EP ID EP265515
- DOI 10.4274/tjo.80947
- Views 99
- Downloads 0
Clinical Profile and Treatment Response of Patients with Ocular Inflammation due to Presumed Ocular Tuberculosis: A Retrospective Study
Objectives: Ocular tuberculosis is an extrapulmonary tuberculous infection and has varying manifestations which pose a huge challenge to diagnosis and treatment. The purpose of this study is to describe the various clini...
Yaşa Bağlı Maküla Dejenerasyonu Hastalarında Anti-Vasküler Endotelyal Büyüme Faktörü Ajanları ile Atrofik Değişimler Arasında İlişki Var mı?
Yaşa bağlı maküla dejenerasyonuna (YBMD) ikincil gelişen koroidal neovaskülarizasyon, günümüzde intravitreal anti-vasküler endotelyal büyüme faktörü (VEGF) ajanları ile başarılı bir şekilde tedavi edilmektedir. Bununla b...
Behçet Üveitinde Vitreomaküler Ara Yüzey Patolojileri
Amaç: Behçet hastalığına bağlı üveit olgularında vitreomaküler ara yüzey patolojilerinin sıklığını tespit etmek ve bu problemlerin klinik bulgularla ilişkisini değerlendirmektir. Gereç ve Yöntem: Mart 2015-Haziran 2016...
Intravitreal Dexamethasone Implant in the Treatment of Non-infectious Uveitis
Objectives: To evaluate the long-term results of intravitreal dexamethasone implant (DEX) for noninfectious uveitis. Materials and Methods: The study included 62 eyes of 44 patients treated with DEX implant due to noninf...
Graft-Versus-Host Hastalıklı Bir Hastada Kristal Keratopatinin Alışılmışın Dışındaki Seyri
Bu yazıda Graft-versus-Host hastalığı olan bir hastada mantar keratitine bağlı gelişen enfeksiyöz kristalin keratopati olgusunu sunmayı amaçlamaktayız. Elli bir yaşındaki erkek hasta her iki gözünde gelişen kuru göz ve t...