Long-term follow-up of changes in corneal endothelium after primary and secondary intraocular lens implantations in children

Kim, Mi Jeung; Kim, Jeong Hun; Kim, Seong Joon; Yu, Young Suk

doi:10.1007/s00417-011-1872-9

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…The presence of secondary glaucoma, glaucoma suspicion and unilateral surgery were significant predictors of increased central corneal thickness. The association between secondary glaucoma and increased central corneal thickness have already been described in other studies 21,22 . Several studies have also described increased central corneal thickness in aphakic and pseudophakic eyes of children without secondary glaucoma when compared with healthy fellow eyes 21–24 .…”

Section: Discussionsupporting

confidence: 61%

“…The association between secondary glaucoma and increased central corneal thickness have already been described in other studies. 21,22 Several studies have also described increased central corneal thickness in aphakic and pseudophakic eyes of children without secondary glaucoma when compared with healthy fellow eyes. [21][22][23][24] One theory is that the increased central corneal thickness is induced by cataract surgery, 22 however central corneal thickness in operated non-glaucoma eyes was not increased in this study when compared with control eyes.…”

Section: Discussionmentioning

confidence: 99%

“…21,22 Several studies have also described increased central corneal thickness in aphakic and pseudophakic eyes of children without secondary glaucoma when compared with healthy fellow eyes. [21][22][23][24] One theory is that the increased central corneal thickness is induced by cataract surgery, 22 however central corneal thickness in operated non-glaucoma eyes was not increased in this study when compared with control eyes. Others have ascribed the thicker cornea after childhood cataract surgery to contact lens wear.…”

Section: Discussionmentioning

confidence: 99%

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Biometry and corneal aberrations after cataract surgery in childhood

Hansen

Bach‐Holm

Kessel

2022

Clinical Exper Ophthalmology

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Background: To report long-term biometric and refractive outcomes in a group of Danish children after surgery for childhood cataract. Methods: Children between 7 and 18 years who had undergone uni-or bilateral cataract surgery at the Department of Ophthalmology, Rigshospitalet, Denmark, were examined in this cross-sectional study. Swept source optical coherence tomography (OCT) based optical biometry (IOLmaster 700) and anterior tomography (Pentacam) was performed. Healthy fellow eyes from those with unilateral cataract were used as controls.Results: We included 56 children in the study with a median age at surgery of 43.8 months (1.6-137.6). The amount of higher order aberrations was significantly increased in operated eyes (median root mean square 0.461 μm [range 0.264-1.484]) compared with non-operated eyes (median root mean square 0.337 μm [range 0.162-0.498], p < 0.001). Younger age at surgery was positively associated with more higher order aberrations at follow-up (p < 0.001), but we found no significant associations between the amount of higher order aberrations and visual acuity or contrast vision. Longer axial length was associated to glaucoma while shorter axial length was associated to strabismus (p < 0.001).Conclusions: Eyes operated for childhood cataract have higher order aberrations compared with non-operated eyes. Higher order aberrations are complex refractive errors that cannot be corrected by normal lenses and may contribute to poor visual outcomes for the children. We found an association between young age at surgery and higher order aberrations.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Biometry and corneal aberrations after cataract surgery in childhood

Hansen

Bach‐Holm

Kessel

2022

Clinical Exper Ophthalmology

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Five Year Review of All Examined Corneal Tissue in a Tertiary Eye Care Center: Demographics and Surgical Indications

Kokandi,

Zahrani,

Helmi

et al. 2024

J Epidemiol Glob Health

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Background Corneal pathologies are among the most common reversible sight-threatening diseases globally. As such, corneal tissue transplantation (keratoplasty) techniques are evolving over time depending on the prevalence of different pathologies in each geographical area. We aim to provide a baseline information on the common keratoplasty procedures performed in our area in relation to prevalent corneal pathologies and to analyze common corneal surgical practice trends in our area. Other types of corneal tissue sampling (superficial keratectomy and corneal biopsy) indicated for therapeutic and diagnostic purposes are also included. Methods This is a retrospective cohort study. All corneal tissue specimens, including those harvested for both therapeutic and diagnostic purposes, received for histopathological examination at our center over a period of 5 years were collected along with the respective demographic data, clinical diagnoses, and surgical indications. Descriptive analysis was used to elucidate important conclusions, and comparative analysis was used to highlight differences between different types of keratoplasty specimens in relation to the surgical indications. Results A total of 347 patients’ corneal tissue specimens were included. Males accounted for 52.45%. Full-thickness corneal buttons were the most common (n = 172), followed by partial-thickness corneal specimens (n = 75), and Descemet’s membrane and endothelium samples (n = 63). Top surgical indications for keratoplasty were keratoconus (n = 149), followed by bullous keratopathy (n = 61), failed previous keratoplasty (n = 47), corneal ulceration (n = 33) and corneal dystrophies (n = 22). Patients undergoing penetrating or lamellar keratoplasty were significantly younger (p < 0.001). Superficial keratectomy and corneal biopsy for keratitis were significantly more common among male patients (p = 0.041), while failed endothelial keratoplasty was observed more among females (p = 0.026). Conclusion Our findings highlight the evolving landscape of corneal transplantation and the importance of tailoring surgical approaches to address the specific needs and risk profiles in different populations. Keratoconus is a leading cause for corneal grafting and seems to constitute a major treatable and visually disabling disease in Saudi Arabia, thus may require further screening and genetic studies with consideration for preventive measures.

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Gender Inequalities in Surgery for Bilateral Cataract among Children in Low-Income Countries

Gilbert

Lepvrier-Chomette

2016

Ophthalmology

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Long-term follow-up of changes in corneal endothelium after primary and secondary intraocular lens implantations in children

Abstract: Our results did not show any significant corneal endothelial cell loss in congenital cataract patients; however, their CCTs were increased.

Cited by 4 publications

References 45 publications

Biometry and corneal aberrations after cataract surgery in childhood

Biometry and corneal aberrations after cataract surgery in childhood

Five Year Review of All Examined Corneal Tissue in a Tertiary Eye Care Center: Demographics and Surgical Indications

Gender Inequalities in Surgery for Bilateral Cataract among Children in Low-Income Countries

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