Complications in the first year following cataract surgery with and without IOL in infants and older children

Plager, David A.; Yang, Sherry X.; Neely, Daniel E.; Sprunger, Derek T.; Sondhi, Naval

doi:10.1067/mpa.2002.121169

Cited by 100 publications

(69 citation statements)

References 22 publications

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“…Plager et al 19 showed in their study the development of VAO in 12% of cases operated under 1 year without IOL implantation. Similarly, the Infant Aphakia Treatment Study 20 showed that the rate of VAO in children operated under 1 year without IOL was 11.1%.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative usefulness and postoperative results of the endoilluminator for performing primary posterior capsulectomy and anterior vitrectomy during pediatric cataract surgery

Matalia

Anaspure

Shetty

et al. 2014

Eye

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Purpose To analyze the intraoperative usefulness and postoperative results of endoilluminator use during pediatric cataract surgery. Methods Medical records of children o8 years of age who underwent lens aspiration with primary posterior capsulectomy (PPC) and anterior vitrectomy (AV) with or without intraocular lens implantation (IOL) were studied. An endoilluminator was used intraoperatively as an external light source in all cases to ensure the completeness of PPC and adequacy of AV. All children were divided into three groups depending upon the age at surgery and presence of IOL. We included only the first operated eye in bilateral cases. We studied the intraoperative performance for all and postoperative complications for those with 46 months follow-up. Results The charts of 79 eyes of 46 children (26 boys, 20 girls: 33 bilateral, 13 unilateral) were reviewed, of which we analyzed 46 eyes of 46 children for intraoperative performance and 42 eyes of 42 children for postoperative complications. The intraoperatively adequate size of PPC was obtained in all cases with no vitreous in the anterior chamber. Two cases in the first group developed peaking of the pupil, and one case developed visual axis contraction requiring membranectomy.None of the cases in the other groups developed any complication. Conclusion An endoilluminator is a simple, safe, and powerful tool for better visualization of the posterior capsule and anterior vitreous during pediatric cataract surgery. It helps in confirming a good vitrectomy, ensuring its completeness and thereby reducing the chances of any complication due to inadequate AV.

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Section: Discussionmentioning

confidence: 99%

Intraoperative usefulness and postoperative results of the endoilluminator for performing primary posterior capsulectomy and anterior vitrectomy during pediatric cataract surgery

Matalia

Anaspure

Shetty

et al. 2014

Eye

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“…Another study of infants undergoing lensectomy and anterior vitrectomy without implantation found a similar incidence of pupillary membranes of 12% in the first year. 63 Inflammation following lensectomy is heightened in infant eyes and can be further exacerbated by iris manipulation or prolonged surgery. This can result in posterior synechiae formation risking seclusio pupillae, iris bombe and subsequent secondary angle closure glaucoma.…”

Section: Complicationsmentioning

confidence: 99%

Advances in the management of congenital and infantile cataract

Lloyd

Ashworth

Biswas

et al. 2007

Eye

115

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“…1,2 However, owing to the inherent nature of growing eyes, marked inflammatory responses in pediatric eyes and inherent risks involved in surgery, management of congenital cataract remains a challenge in terms of preventing and managing complications. 3,4 The most commonly reported complications after pediatric cataract surgery with or without an intraocular lens (IOL) implantation are visual axis opacification (VAO), 5,6 heightened inflammatory response, 7 secondary membranes, 7 IOL precipitates, 8 pupillary capture, 8 posterior synechiae, 8 uveitis, 9 iris prolapse, corectopia, 10,11 endothelial cell loss, 12 pupillary block and aphakic/ pseudophakic glaucoma, 6,13,14 retinal detachment, 15 and endophthalmitis. 10,16 Although some retrospective studies have reported prevalence of postoperative complications after pediatric cataract surgery, only a few studies have focused on complications that require intervention/ reoperation.…”

Section: Introductionmentioning

confidence: 99%

Second intraocular surgery after primary pediatric cataract surgery: indications and outcomes during long-term follow-up at a tertiary eye care center

Sachdeva

Katukuri

Ali

et al. 2016

Eye

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Purpose Although 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. Methods A retrospective review of medical records of children (o7 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. Results Out of 814 (570 pseudophakic and 244 aphakic) eyes of 620 operated children, 45 eyes of 40 children (5.5%, 45/814) needed a second surgery. The most common indication being VAO (2.9%, 24/814), followed by glaucoma (0.73%, 6/814). Incidence of complications was higher in children o1 year (VAO 6.1%, 19/308 and glaucoma 6%, 6/308). Among all children, repeat interventions and VAO were slightly less frequent in pseudophakics (4.91%, 28/570) vs aphakics (6.91%, 17/244) (P = 0.31). As VAO was more common in pseudophakic eyes in infants, glaucoma was equally common in both groups. Best-corrected visual acuity improved from 1.6 ± 0.56 LogMAR preoperatively to 0.80 ± 0.50 LogMAR postoperatively. Conclusions Our study suggests that overall incidence of second intraocular surgery is low after primary pediatric cataract surgery. VAO remains the most common indication followed by secondary glaucoma. Incidence of complications is higher in children o1 year of age at initial surgery.

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Complications in the first year following cataract surgery with and without IOL in infants and older children

Cited by 100 publications

References 22 publications

Intraoperative usefulness and postoperative results of the endoilluminator for performing primary posterior capsulectomy and anterior vitrectomy during pediatric cataract surgery

Intraoperative usefulness and postoperative results of the endoilluminator for performing primary posterior capsulectomy and anterior vitrectomy during pediatric cataract surgery

Advances in the management of congenital and infantile cataract

Second intraocular surgery after primary pediatric cataract surgery: indications and outcomes during long-term follow-up at a tertiary eye care center

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