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Conference Roundup
Pediatrics

This Cataract Procedure Produces Positive Results in Children, but…

Posted on September 21, 2018

Outcomes following cataract surgery with single piece hydrophobic acrylic IOL implantation in the bag are positive, but rate of visual axis obscuration (VAO) is high and remains several years after follow-up, according to a retrospective study involving 51 eyes of 35 children. Results were presented by Vaishali Vasavada, MS, of the Iladevi Cataract and IOL Research Center in Ahmedabad, India, during the American Society of Cataract and Refractive Surgery’s 2018 annual meeting in Washington, DC. 

Participants underwent cataract surgery with in-the-bag single piece hydrophobic acrylic IOL implantation for non-traumatic cataracts and were followed for at least 6 years. All had manual anterior and posterior capsulorhexis, automated anterior vitrectomy and in the bag single piece hydrophobic acrylic IOL implantation. Investigators assessed best corrected visual acuity (BCVA), glaucoma incidence, retinal detachment, VAO, and secondary intervention for VAO. Among the results:

  • 70% eyes developed VAO requiring surgical/laser intervention at an average of 38 months postop. 
  • 4% of eyes experienced glaucoma which was controlled with medication. 
  • BCVA improved in all eyes; average at last follow-up was :0.33+0.35 LogMAR. 
  • All IOLs were well centered IOLs.
  • No IOL dislocation or retinal detachment occurred.

Vasavada V . Long-term outcomes of IOL implantation in pediatric cataract surgery. Talk presented at: 2018 ASCRS-ASOA Annual Meeting; April 13-17, 2018; Washington, DC.
 

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