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Pediatric cataract surgery

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https://www.readbyqxmd.com/read/29131702/postoperative-refractive-errors-following-pediatric-cataract-extraction-with-intraocular-lens-implantation
#1
Maanasa Indaram, Deborah K VanderVeen
PURPOSE: Advances in surgical techniques allow implantation of intraocular lenses (IOL) with cataract extraction, even in young children. However, there are several challenges unique to the pediatric population that result in greater degrees of postoperative refractive error compared to adults. METHODS: Literature review of the techniques and outcomes of pediatric cataract surgery with IOL implantation. RESULTS: Pediatric cataract surgery is associated with several sources of postoperative refractive error...
November 13, 2017: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/29090036/the-autoimmunity-s-footprint-in-pediatrics-type-1-diabetes-coeliac-disease-thyroiditis
#2
Anca Orzan, Carmen Novac, Mihaela Mihu, Constantin Ionescu Tirgoviste, Mihaela Balgradean
The present case report aims to describe and discuss the approach for the management of difficult endotracheal intubation in an adult with Down syndrome undergoing cataract surgery. A 26-year-old female with Down syndrome and a validated diagnosis of cataract requiring surgery was examined in order to assess the degree of difficulty of endotracheal intubation. Patients with Down syndrome have characteristic craniofacial abnormalities which require a thorough pre-operative assessment to anticipate and prepare for a difficult endotracheal intubation...
June 2017: Mædica
https://www.readbyqxmd.com/read/29077177/mobile-femtosecond-laser-platform-for-pediatric-cataract-surgery
#3
Simon S M Fung, John Brookes, Mark R Wilkins, Gillian G W Adams
PURPOSE: To describe the use of a mobile femtosecond laser platform in assisting paediatric cataract surgery. METHODS: A mobile femtosecond laser was brought into the operating room and calibrated on the day of the surgery. After general anesthesia is induced, the femtosecond laser was docked onto the eyes with a liquid-filled interface, without any perioperative adaptations or additional surgical procedures. An anterior capsulotomy was created with the femtosecond laser, followed by conventional cataract extraction and intraocular lens implantation...
October 26, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/29044088/management-of-idiopathic-intracranial-hypertension-in-an-infant-with-bilateral-congenital-cataract-and-associated-comitant-sensory-esotropia
#4
Jyoti Himanshu Matalia, Sheetal Shirke, Hemant Anaspure, Pooja Ghalla, Minal Kekatpure
In this report, we describe the management of a child with bilateral cataract, nystagmus, and comitant sensory esotropia. Routine ultrasonography done before cataract surgery revealed bilateral disc edema confirmed as idiopathic intracranial hypertension by a pediatric neurologist. The primary intervention for cataract surgery was followed by nonresolving papilledema, despite maximum medical therapy. To salvage the optic nerve function in a nonverbal child, bilateral optic nerve sheath decompression was planned with simultaneous medial rectus recessions for the persistent esotropia with the satisfactory postoperative outcome...
October 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28991614/postoperative-outcomes-of-intraocular-lens-implantation-in-the-bag-versus-posterior-optic-capture-in-pediatric-cataract%C3%A2-surgery
#5
Abhay R Vasavada, Vaishali Vasavada, Sajani K Shah, Rupal H Trivedi, Viraj A Vasavada, Shail A Vasavada, Samaresh Srivastava, Aditya Sudhalkar
PURPOSE: To compare complications in children up to 4 years old having cataract surgery with intraocular lens (IOL) implantation using 2 techniques: in-the-bag IOL with anterior vitrectomy or optic capture of IOL with no anterior vitrectomy. SETTING: Iladevi Cataract & IOL Research Centre, Ahmedabad, India. DESIGN: Prospective randomized control clinical trial. METHODS: The study included children having cataract surgery with IOL implantation...
September 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28991349/surgical-outcome-of-congenital-cataract-in-eyes-with-microcornea
#6
Jyoti Matalia, Sheetal Shirke, K Bhujang Shetty, Himanshu Matalia
PURPOSE: To report the intraoperative and postoperative outcomes of congenital cataract surgery in eyes with microcornea. METHODS: In this retrospective, interventional, comparative case series, the authors reviewed 47 eyes of 26 children with microcornea and congenital cataract (21 bilateral and 5 unilateral) who underwent lens aspiration with primary posterior capsulectomy and anterior vitrectomy between 2008 and 2014 with a minimum follow-up period of 6 months...
October 9, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28991343/endophthalmitis-following-pediatric-cataract-surgery-an-international-pediatric-ophthalmology-and-strabismus-council-global-perspective
#7
Almutez M Gharaibeh, Eedy Mezer, Luis H Ospina, Tamara Wygnanski-Jaffe
PURPOSE: To compile international data on the risk factors, diagnosis, and treatment of endophthalmitis following pediatric cataract surgery. METHODS: An e-mail containing a link to an online survey was sent to all members of the American Association for Pediatric Ophthalmology and Strabismus. The questionnaire examined the incidence, risk factors, treatment, outcomes, and prophylaxis of endophthalmitis following pediatric cataract surgery around the world. RESULTS: Two hundred thirty-seven ophthalmologists answered the questionnaire...
October 9, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28971632/paradigms-for-pediatric-cataract-surgery
#8
Viraj Vasavada
Pediatric cataract surgery has seen several advances in techniques, technologies, and conceptual practices. Pediatric cataract management heavily depends on a combined effort, not only from the ophthalmologist, but also the parents, the anesthetists, and the supporting staff members (eg, optometrists, orthoptists, patient coordinators). Surgical management, though critical, is not the only consideration for these children. Continuing visual rehabilitation and monitoring for complications remain key elements even after the surgery is done...
September 25, 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28852905/the-evaluation-of-the-risk-factors-for-capsular-complications-in-phacoemulsification
#9
Şule Berk Ergun, Sücattin İlker Kocamış, Hasan Basri Çakmak, Nurullah Çağıl
PURPOSE: To determine and quantify the risk factors for disruption of lens capsule integrity during phacoemulsification. METHODS: The medical records of the patients who had undergone phacoemulsification cataract surgery and had a complication associated with lens capsule were reviewed. Consecutive cases were also reviewed in reverse chronological order as a control group. The exclusion criteria were pediatric cataracts, traumatic cataracts and lens dislocation...
August 29, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28845327/biocompatibility-of-intraocular-lenses
#10
REVIEW
Pelin Özyol, Erhan Özyol, Fatih Karel
The performance of an intraocular lens is determined by several factors such as the surgical technique, surgical complications, intraocular lens biomaterial and design, and host reaction to the lens. The factor indicating the biocompatibility of an intraocular lens is the behavior of inflammatory and lens epithelial cells. Hence, the biocompatibility of intraocular lens materials is assessed in terms of uveal biocompatibility, based on the inflammatory foreign-body reaction of the eye against the implant, and in terms of capsular biocompatibility, determined by the relationship of the intraocular lens with residual lens epithelial cells within the capsular bag...
August 2017: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/28844322/incidence-risk-factors-and-outcomes-of-retinal-detachment-after-pediatric-cataract-surgery
#11
Sumita Agarkar, Varada Vinay Gokhale, Rajiv Raman, Muna Bhende, Gayathri Swaminathan, Mukesh Jain
PURPOSE: To report the incidence of, and to estimate the long-term risk and predisposing factors and the surgical outcomes for, retinal detachment (RD) after pediatric cataract surgery. DESIGN: Retrospective consecutive interventional case series. PARTICIPANTS: During the study period 1996 to 2007 at a tertiary eye care institute, 481 eyes of 295 children aged below 16 years with no other ocular and systemic anomalies who underwent lensectomy, posterior capsulorrhexis, and anterior vitrectomy combined with primary intraocular lens implantation were included...
August 22, 2017: Ophthalmology
https://www.readbyqxmd.com/read/28753216/strabismus-after-ocular-surgery
#12
REVIEW
Ethan K Sobol, Jamie B Rosenberg
Many types of ocular surgery can cause diplopia, including eyelid, conjunctival, cataract, refractive, glaucoma, retinal, and orbital surgery. Mechanisms include direct injury to the extraocular muscles from surgery or anesthesia, scarring of the muscle complex and/or conjunctiva, alteration of the muscle pulley system, mass effects from implants, and muscle displacement. Diplopia can also result from a loss of fusion secondary to long-standing poor vision in one eye or from a decompensation of preexisting strabismus that was not recognized preoperatively...
September 1, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28671961/visual-outcomes-of-dense-pediatric-cataract-surgery-in-eastern-china
#13
Fangqin Ma, Meiyu Ren, Lihua Wang, Qi Wang, Jingli Guo
PURPOSE: To evaluate the visual outcomes of dense pediatric cataract surgery in eastern China. METHODS: Medical records of children who underwent surgery for dense unilateral or bilateral pediatric cataract in Shandong Provincial Hospital between January 2007 and December 2012 were collected. Patients who cooperated with optical correction and aggressive patching of the sound eye and who had a minimum postoperative follow-up of more than 2 years were included. Risk factors for poor visual outcomes were analyzed...
2017: PloS One
https://www.readbyqxmd.com/read/28617521/regular-versus-releasable-sutures-in-surgery-for-primary-congenital-glaucoma
#14
Nader H Bayoumi
PURPOSE: To compare releasable and regular sutures in combined angle and filtering surgery for primary congenital glaucoma. METHODS: A prospective study was conducted on 39 eyes (26 right eyes) of 39 children (20 boys; 19 girls) who had primary congenital glaucoma treated with combined trabeculotomy-trabeculectomy with mitomycin C and scleral flap closure with regular or releasable sutures. Follow-up was 24 months. Success rates (defined as an intraocular pressure [IOP] < 16 mm Hg without hypotony-related complications and/or lack of IOP-related progression of the disease) were studied and complications were noted...
September 1, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28602329/central-corneal-thickness-and-intraocular-pressure-changes-after-congenital-cataract-surgery-with-intraocular-lens-implantation-in%C3%A2-children-younger-than-2%C3%A2-years
#15
Jaspreet Sukhija, Savleen Kaur
PURPOSE: To evaluate the change in central corneal thickness (CCT) and intraocular pressure (IOP) preoperatively to postoperatively in children younger than 2 years of age having surgery with primary intraocular lens (IOL) implantation for congenital cataract. SETTING: Tertiary care institute, Chandigarh, India. DESIGN: Prospective case series. METHODS: Children younger than 2 years old who had phacoaspiration with IOL implantation were studied...
May 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28587882/accidental-duplication-combined-vitrectomy-and-glaucoma-drainage-device-implantation-surgical-approach-for-complex-pediatric-glaucomas
#16
Cem Ozgonul, Cagri G Besirli, Brenda L Bohnsack
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.jaapos.2017.02.001. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
June 3, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28573990/immediate-sequential-bilateral-cataract-surgery-a-5-year-retrospective-analysis-of-2470-eyes-from-a-tertiary-care-eye-center-in-south-india
#17
Sri Ganesh, Sheetal Brar, Rohit Sreenath
PURPOSE: The purpose of this study is to evaluate the safety and benefits of immediate sequential bilateral cataract surgery. PATIENTS AND METHODS: Retrospective data analysis of patients who underwent immediate sequential bilateral phacoemulsification with foldable intraocular lens (IOL) implantation under topical anesthesia from January 2011 to September 2016 was performed. Patients with visually significant bilateral cataract within the axial length range of 21...
May 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28553426/characteristics-of-anterior-lens-opacities-in-children
#18
Lena Dixit, Michael Puente, Kimberly G Yen
BACKGROUND: Anterior lens opacities (ALO) are found in 3-14% of pediatric patients with cataracts. No clear guidelines exist in the management and treatment of these cataracts. OBJECTIVE: To evaluate pediatric patients with anterior lens opacities and assess rate of amblyopia and need for surgery over time. METHODS: A retrospective chart review was performed on patients with unilateral and bilateral anterior lens opacities (ALOs) seen between January 2008 and December 2014...
2017: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/28537643/long-term-outcomes-of-primary-intraocular-lens-implantation-in-patients-aged-7-to-24-months
#19
Allison G Yeh, Lingkun Kong, Kimberly G Yen
PURPOSE: To report long-term outcomes of primary intraocular lens (IOL) placement in patients aged 7 to 24 months. METHODS: This was a retrospective study of 27 consecutive patients (28 eyes) aged 7 to 24 months who underwent cataract surgery with primary IOL placement. RESULTS: Average follow-up was 62.7 ± 41.7 months and the mean age of surgery was 14.4 ± 5.6 months. Mean final visual acuity was 1.02 ± 0.72 logMAR (20/209). Adverse events occurred in 7 eyes (25%) and included visual axis opacification in 6 eyes and pupillary block glaucoma in 1 eye...
May 1, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28529695/training-strategies-and-outcomes-of-ab-interno-trabeculectomy-with-the-trabectome
#20
Katherine Fallano, Igor Bussel, Larry Kagemann, Kira L Lathrop, Nils Loewen
Plasma-mediated ab interno trabeculectomy with the trabectome was first approved by the US Food and Drug Administration in 2004 for use in adult and pediatric glaucomas. Since then, increased clinical experience and updated outcome data have led to its expanded use, including a range of glaucomas and angle presentations, previously deemed to be relatively contraindicated. The main benefits are a high degree of safety, ease, and speed compared to traditional filtering surgery and tube shunts. The increasing burden of glaucoma and expanding life expectancy has resulted in demand for well-trained surgeons...
2017: F1000Research
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