Cargando…

Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation

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 ev...

Descripción completa

Detalles Bibliográficos
Autores principales: Demirkılınç Biler, Elif, Yıldırım, Şeyda, Üretmen, Önder, Köse, Süheyla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854852/
https://www.ncbi.nlm.nih.gov/pubmed/29576890
http://dx.doi.org/10.4274/tjo.80947
_version_ 1783306984505737216
author Demirkılınç Biler, Elif
Yıldırım, Şeyda
Üretmen, Önder
Köse, Süheyla
author_facet Demirkılınç Biler, Elif
Yıldırım, Şeyda
Üretmen, Önder
Köse, Süheyla
author_sort Demirkılınç Biler, Elif
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5854852
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Galenos Publishing
record_format MEDLINE/PubMed
spelling pubmed-58548522018-03-23 Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation Demirkılınç Biler, Elif Yıldırım, Şeyda Üretmen, Önder Köse, Süheyla Turk J Ophthalmol Original Article 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. Galenos Publishing 2018-02 2018-02-23 /pmc/articles/PMC5854852/ /pubmed/29576890 http://dx.doi.org/10.4274/tjo.80947 Text en ©2018 Turkish Journal of Ophthalmology, Published by Galenos Publishing. urlcontent This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Demirkılınç Biler, Elif
Yıldırım, Şeyda
Üretmen, Önder
Köse, Süheyla
Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
title Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
title_full Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
title_fullStr Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
title_full_unstemmed Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
title_short Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation
title_sort long-term results in pediatric developmental cataract surgery with primary intraocular lens implantation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854852/
https://www.ncbi.nlm.nih.gov/pubmed/29576890
http://dx.doi.org/10.4274/tjo.80947
work_keys_str_mv AT demirkılıncbilerelif longtermresultsinpediatricdevelopmentalcataractsurgerywithprimaryintraocularlensimplantation
AT yıldırımseyda longtermresultsinpediatricdevelopmentalcataractsurgerywithprimaryintraocularlensimplantation
AT uretmenonder longtermresultsinpediatricdevelopmentalcataractsurgerywithprimaryintraocularlensimplantation
AT kosesuheyla longtermresultsinpediatricdevelopmentalcataractsurgerywithprimaryintraocularlensimplantation