Practice patterns in pediatric cataract management: Time for real world data

Nischal, Ken K.

doi:10.4103/ijo.ijo_816_17

Cited by 3 publications

(2 citation statements)

References 15 publications

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Section: Introductionmentioning

confidence: 99%

“…Cataract extraction surgery followed by primary intraocular lens (IOL) implantation, in children aged one year or more, has been considered as a safe and effective procedure in children. [1][2][3]5,6 Primary IOL implantation in the posterior chamber following cataract extraction is the standard of care for pediatric cataract and is commonly performed by pediatric ophthalmologists. 1,3,7 Determining IOL power is an important step in achieving the desired postoperative refractive target, but this determination remains challenging, as currently the used formulas were developed using IOL power calculations derived from adults.…”

Section: Introductionmentioning

confidence: 99%

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Accuracy of the SRK/T Formula in Pediatric Cataract Surgery

Irfani¹,

Wahyu²,

Oktarima³

et al. 2023

OPTO

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Purpose Determining IOL power is an important step in achieving the desired postoperative refractive target, but this determination remains challenging, as currently the used formulas were developed using IOL power calculations derived from adults. Patients and Methods This is a retrospective analytical study with the period of June 2018 to May 2019. All of the data were taken from medical records in referral tertiary eye hospital in Indonesia. All type of cataracts underwent uncomplicated surgeries and in-the-bag IOL implantation were included in this study, while aphakia, secondary IOL implantation, primary sulcus implantation, and history of ocular disorders were excluded. The data were analyzed using Wilcoxon sign-rank, paired t, and Kruskal–Wallis tests. Results Sixty-seven patients (106 eyes) were found to meet the inclusion criteria, average age was 7.35 ± 4.61 years (1.00 to 17.00 years). Average targeted refraction was 1.69 ± 2.06 D (−0.38–+6.99 D), and spherical equivalent (actual postoperative refraction) was −0.90 ± 1.45 D (−4.38 to +2.75 D). There was statistically significant difference between preoperative targeted refraction and actual postoperative refraction (p < 0.001). Mean absolute prediction error (APE) in general was 1.34 ± 1.18 D, 1.22 ± 0.88 D (in short eyes), 1.52 ± 1.37 D (in moderate eyes), and 0.69 ± 0.52 D (in long eyes) (p = 0.202). Mean APE in age group <7 years old was 1.27 ± 1.18 D and ≥7 years-old was 1.42 ± 1.19 D (p = 0.429). Conclusion SRK/T formula is fairly accurate in calculating IOL power in pediatric cataract surgery. Mean APE in this study was within the range of accurate mean APE in pediatric patients despite differentiated axial length and age.

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Section: Introductionmentioning

confidence: 99%