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pediatric IOL cataract

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https://www.readbyqxmd.com/read/27818207/validation-of-guidelines-for-undercorrection-of-intra-ocular-lens-iol-power-in-children
#1
Virender Sachdeva, Sushma Katukuri, Ramesh Kekunnaya, Merle Fernandes, Mohammed Hasnat Ali
INTRODUCTION: Initial undercorrection of intra-ocular lens (IOL power) is a common practice in children undergoing pediatric cataract surgery. However, long term refractive status of these children is largely unknown. The purpose of this study is to analyze the long-term refractive status of these children. DESIGN: Retrospective observational study METHODS: We analyzed records of children (< 7 yrs) who underwent cataract surgery where a primary IOL implantation was performed and had completed follow-up upto atleast 7 years of age...
November 3, 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27813517/benchmarks-for-outcome-indicators-in-pediatric-cataract-surgery
#2
B R Nihalani, D K VanderVeen
PurposeThe purpose of this study was to establish benchmarks for outcome indicators that may help ascertain the quality of pediatric cataract surgery with primary intraocular lens (IOL) implantation.Patients and methodsA retrospective chart review of patients older than 2 years undergoing cataract surgery with primary IOL implantation, by multiple surgeons in a tertiary-care center, from November 2005 to February 2016 was conducted. Patients with ocular comorbidities that would affect the outcomes were excluded...
November 4, 2016: Eye
https://www.readbyqxmd.com/read/27795795/cataract-surgery-with-intraocular-lens-implantation-in-children-aged-5-15-in-local-anaesthesia-visual-outcomes-and-complications
#3
Kagmeni Giles, Domngang Christelle, Bilong Yannick, Otto Herrmann Fricke, Peter Wiedemann
The aim of this study was to report feasibility, the visual outcomes and complications of pediatric cataract surgery with primary intraocular lens implantation in children aged 5 to15 years in local anesthesia. This retrospective interventional case series included 62 eyes from 50 children who underwent pediatrc cataract surgery with primary intraocular lens implantation at the Mana eye Clinic Nkongsamba between 2006 and 2015 Main outcome measures were: best-corrected post operative visual acuity, and intraoperative and postoperative complications...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27785598/pseudo-accommodation-in-non-amblyopic-children-after-bilateral-cataract-surgery-and-implantation-with-a-monofocal-intraocular-lens-prevalence-and-possible-mechanisms
#4
Charlotte Dénier, Pascal Dureau, Catherine Edelson, Amandine Barjol, Georges Caputo
BACKGROUND: Some pseudophakic patients implanted with a monofocal intraocular lens (IOL) have good near visual acuity (VA) with their distance correction. The objective was to evaluate the prevalence of pseudo-accommodation in children after bilateral cataract surgery, without amblyopia, and to define its mechanisms. METHODS: Observational study that took place in a pediatric ophthalmology department, Paris, France. A total of 68 eyes were included, 40 from 23 children and 28 from 14 adults, with a corrected distance VA above 20/25 and a normal near VA (20/25) with +3 addition...
October 26, 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/27783091/primary-and-secondary-intraocular-lens-implantations-in-children-with-pediatric-cataract-visual-acuity-and-strabismus-at-the-age-of-2-years-and-older
#5
Nazife Sefi-Yurdakul, Ayse Tülin Berk
PURPOSE: To compare the visual outcomes of primary and secondary intraocular lens (IOL) implantations and to identify the risk factors for the development of strabismus in patients with pediatric cataract. METHODS: The records of the pediatric patients who had undergone cataract surgery between January 1999 and November 2014 were reviewed retrospectively. The results of the cases with cataract extraction with primary IOL implantation (primary group) and cases with secondary IOL implantation (secondary group) were compared and the risk factors for the development of strabismus were investigated...
October 25, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27769584/cataract-surgery-in-children-from-birth-to-less-than-13-years-of-age-baseline-characteristics-of-the-cohort
#6
Michael X Repka, Trevano W Dean, Elizabeth L Lazar, Kimberly G Yen, Phoebe D Lenhart, Sharon F Freedman, Denise Hug, Bahram Rahmani, Serena X Wang, Raymond T Kraker, David K Wallace
OBJECTIVE: To describe baseline characteristics, initial postoperative refractive errors, operative complications, and magnitude of the intraocular lens (IOL) prediction error for refractive outcome in children undergoing lensectomy largely in North America. DESIGN: Prospective registry study of children from birth to <13 years of age who underwent lensectomy for any reason within 45 days preceding enrollment. PARTICIPANTS: Total of 1266 eyes of 994 children; 49% female and 59% white...
December 2016: Ophthalmology
https://www.readbyqxmd.com/read/27712997/revisiting-secondary-capsulotomy-for-posterior-capsule-management-in-pediatric-cataract-surgery
#7
Zachary P Elkin, W Jordan Piluek, Douglas R Fredrick
PURPOSE: To evaluate the development and treatment of visual axis opacification following pediatric cataract extraction with intraocular lens placement (IOL) without primary posterior capsulotomy and anterior vitrectomy (PPC+AV). METHODS: The medical records of children who underwent cataract extraction and IOL at an academic medical center were reviewed retrospectively for development of posterior capsular opacification (PCO) to identify risk factors for development of treatment-requiring posterior capsular opacification...
October 3, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27599095/cataract-surgery-with-primary-lens-implantation-in-children-with-chronic-uveitis
#8
Damien Guindolet, Pascal Dureau, Céline Terrada, Catherine Edelson, Amandine Barjol, Georges Caputo, Phuc LeHoang, Bahram Bodaghi
PURPOSE: To evaluate the evolution of chronic uveitis in children undergoing cataract surgery with primary intraocular lens (IOL) implantation. METHODS: Twelve children with chronic uveitis underwent cataract surgery with primary posterior chamber intraocular lens (IOL) implantation. RESULTS: Fourteen eyes were implanted with a foldable hydrophobic acrylic IOL. The mean follow-up was 35.39 months (8.72-69.57). The mean BCDVA before surgery and at the end of follow-up was 1...
September 6, 2016: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/27598822/phacoemulsification-with-intraocular-lens-implantation-in-pediatric-uveitis-a-retrospective-study
#9
Sudha K Ganesh, Saurabh Mistry
PURPOSE: To analyze the outcome of phacoemulsification with primary posterior chamber intraocular lens (IOL) implantation without primary posterior capsulorhexis in older children with uveitis. METHODS: Retrospective study of children with uveitis who underwent phacoemulsification with IOL implantation between January 2006 and May 2014. RESULTS: Twenty-one eyes of 16 children were included. Mean age at cataract surgery was 10.9 years. Juvenile idiopathic arthritis was associated in 37...
September 6, 2016: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/27494083/comparison-of-iol-power-calculation-formulae-for-pediatric-eyes
#10
V Vasavada, S K Shah, V A Vasavada, A R Vasavada, R H Trivedi, S Srivastava, S A Vasavada
PurposeTo evaluate and compare the accuracy of modern intraocular lens (IOL) power calculation formulae in pediatric eyes and compare prediction error (PE) obtained with manufacturer's vs personalized lens constant.Patients and methodsAn observational case study was conducted in 117 eyes (117 patients) undergoing pediatric cataract surgery with IOL implantation. PE was calculated as predicted refraction minus actual postoperative refraction, and absolute PE as absolute difference independent of the sign, (APE)=predicted refraction minus actual postoperative refraction...
September 2016: Eye
https://www.readbyqxmd.com/read/27472217/visual-acuity-and-its-predictors-after-surgery-for-bilateral-cataracts-in-children
#11
L A Bonaparte, R H Trivedi, V Ramakrishnan, M E Wilson
PurposeThe 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.MethodsA 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...
September 2016: Eye
https://www.readbyqxmd.com/read/27472208/second-intraocular-surgery-after-primary-pediatric-cataract-surgery-indications-and-outcomes-during-long-term-follow-up-at-a-tertiary-eye-care-center
#12
V Sachdeva, S Katukuri, MdH Ali, R Kekunnaya
PurposeAlthough pediatric cataract surgery has become standardized and safe, further surgical interventions are not uncommon. The purpose of this study was to analyze the incidence of complications in children who required an intraocular intervention.MethodsA retrospective review of medical records of children (<7 years) with cataract who underwent cataract surgery with or without primary posterior chamber intraocular lens (IOL) placement between January 2006 and December 2014 was carried out. Data were collected regarding visual axis opacification (VAO), glaucoma, IOL decentration, intraocular infections, and other indications that required a second intraocular surgery...
September 2016: Eye
https://www.readbyqxmd.com/read/27162456/posterior-iris-fixated-intraocular-lens-for-pediatric-traumatic-cataract
#13
V Kavitha, Preethi Balasubramanian, Mallikarjun M Heralgi
PURPOSE: To evaluate the postoperative visual outcomes and complications of posterior iris fixated intraocular lens (IFIOL) implantation for pediatric traumatic cataract. METHODS: A retrospective clinical audit was performed of all the pediatric traumatic cataract patients who underwent lens removal and iris fixated lens implantation due to inadequate capsular support with or without corneal tear repair between January 2009 and December 2013. Data were collected and analyzed on the preoperative and postoperative visual outcomes and complications...
April 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27090802/seven-year-follow-up-of-unilateral-multifocal-pseudophakia-in-a-child
#14
Ruth Lapid-Gortzak, I J van der Meulen, H M Jellema, M P Mourits, C P Nieuwendaal
The purpose of the study was to report the long-term outcome of unilateral implantation of a multifocal intraocular lens (IOL) in a pediatric cataract. This study was carried out at Tertiary Academic Ophthalmology Department, AMC, Amsterdam. This is a case report study of a 7-year-old child with a unilateral irradiation cataract, in whom an apodized diffractive multifocal IOL (SN6D3, Alcon) was implanted at the time of cataract surgery. During the follow-up period, visual acuity was preserved at logMAR -0.1; the child did not develop amblyopia...
April 18, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27043392/visual-rehabilitation-in-pediatric-aphakia
#15
REVIEW
Michael X Repka
The management of childhood cataract begins at the initial contact with the family and typically extends far into the child's future. Decisions affecting long-term care and visual outcomes are often made in these initial preoperative encounters. Treatment will vary depending on whether the cataract is unilateral or bilateral and whether it is infantile onset or later. Thorough discussion of the treatment options is needed, especially with description of the life-long management issues for the child. Visual outcomes will vary, with the best visual acuity results being observed in older children with bilateral cataracts...
2016: Developments in Ophthalmology
https://www.readbyqxmd.com/read/27043390/changes-in-ocular-growth-after-pediatric-cataract-surgery
#16
REVIEW
Scott R Lambert
The human eye undergoes extensive changes during early childhood, including axial elongation, corneal flattening and reduced lens power. Animal studies have shown that removing the crystalline lens during infancy retards axial elongation. Axial elongation has been studied in children after cataract extraction both directly and indirectly. Children with a unilateral congenital cataract generally have a shorter axial length in their cataractous eye than in their fellow eye. This difference usually persists after cataract surgery...
2016: Developments in Ophthalmology
https://www.readbyqxmd.com/read/27009616/controversies-in-intraocular-lens-implantation-in-pediatric-uveitis
#17
REVIEW
Sumita Phatak, Careen Lowder, Carlos Pavesio
Cataract is one of the most common and visually debilitating complications of pediatric uveitis. It develops as a consequence of chronic inflammation and steroid use and is seen most often in juvenile idiopathic arthritis (JIA)-associated uveitis. Cataract extraction with intraocular lens (IOL) insertion has been carried out with a measure of success in non-uveitic pediatric eyes, but in cases of uveitis, multiple factors affect the final outcome. Chronic inflammation and its sequelae such as band keratopathy, posterior synechiae, and cyclitic membranes make surgical intervention more challenging and outcome less certain...
December 2016: Journal of Ophthalmic Inflammation and Infection
https://www.readbyqxmd.com/read/26878234/evaluating-the-evidence-for-and-against-the-use-of-iols-in-infants-and-young-children
#18
Priyanka Kumar, Scott R Lambert
Congenital cataracts account for 5-20% of childhood blindness worldwide. In the US, the prevalence of visually significant infantile cataracts is anywhere from 3-4 per 10,000 live births. Infantile cataracts need to be removed early in life in order to prevent the onset of deprivation amblyopia. As a result, cataract surgery is usually performed between age 4-8 weeks depending on the laterality and severity of the cataract. Given advances in the field, pediatric cataract surgery is now a safe and effective intervention for infants, but good visual outcomes require occlusion therapy and optical correction...
2016: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/26584750/outcome-of-a-new-acrylic-intraocular-lens-implantation-in-pediatric-cataract
#19
Jaspreet Sukhija, Savleen Kaur, Jagat Ram
PURPOSE: To study the outcome of Hoya Clear Preloaded intraocular lens (IOL) (PC 60AD, AF Series; Hoya, Tokyo, Japan) implantation in children. METHODS: Children who underwent phacoaspiration with primary posterior capsulotomy, anterior vitrectomy, and primary IOL implantation through a 2.8-mm incision were observed prospectively. In all cases, attempts were made to implant the IOL into the capsular bag. Parameters noted were ease of implantation, synechiae formation, IOL deposits, decentration of IOL, visual axis obscuration, haptic compression, and ovalling of the rhexis...
November 2015: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/26577966/changes-in-central-corneal-thickness-and-endothelial-cell-count-following-pediatric-cataract-surgery
#20
Mariya Nazish Memon, Sorath Noorani Siddiqui
OBJECTIVE: To evaluate the mean changes in Central Corneal Thickness (CCT) and Endothelial Cell Count (ECC) in eyes after pediatric cataract surgery with foldable intraocular lens using scleral tunnel incision micro-surgical technique. STUDY DESIGN: Qausi experimental study. PLACE AND DURATION OF STUDY: Department of Pediatric Ophthalmology and Strabismus, Al-Shifa Trust Eye Hospital, Rawalpindi, from May 2011 to March 2012. METHODOLOGY: Fifty-two eyes of 37 children with pediatric cataract were included in the study...
November 2015: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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