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Optotype acuity and re-operation rate after unilateral cataract surgery during the first 6 months of life with or without IOL implantation
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  1. S R Lambert1,
  2. M Lynn2,
  3. C Drews-Botsch2,
  4. L DuBois1,
  5. D A Plager3,
  6. N B Medow4,
  7. M E Wilson5,
  8. E G Buckley6
  1. 1Emory Eye Center, Atlanta, Ga, USA
  2. 2Emory University School of Public Health, Atlanta, GA, USA
  3. 3Indiana University Medical Center, Indianapolis, IN, USA
  4. 4Manhattan Eye, Ear and Throat Hospital, New York City, NY, USA
  5. 5Storm Eye Institute, Charleston, SC, USA
  6. 6Duke University Medical Center, Durham, NC, USA
  1. Correspondence to: Scott R Lambert MD, Emory Eye Center, 1365-B Clifton Road, NE, Atlanta, GA 30322, USA; slamberemory.edu

Abstract

Aims: To compare optotype acuities and re-operation rates in children corrected with a contact lens (CL) compared with an intraocular lens (IOL) following unilateral cataract extraction during infancy in a non-randomised, retrospective case series.

Methods: 25 infants with a unilateral congenital cataract underwent cataract surgery with (IOL group, n = 12) or without (CL group, n = 13) IOL implantation when <7 months of age. Optotype acuities were assessed in 19 of these children at a mean age of 4.3 years (range 3.3–5.5 years). The number of re-operations were assessed in 21 children.

Results: The visual acuity results were similar in the two treatment groups (p = 0.99); however, two of the four (50%) children in the IOL group compared with two of the seven (28%) children in the CL group undergoing surgery during the first 6 weeks of life had 20/40 or better visual acuity. The children in the IOL group had more re-operations than the children in the CL group (mean 1.1 v 0.36). Most of the re-operations in the IOL group were membranectomies performed during the first year of life (median 8.0 months) whereas all of the re-operations in the CL group were the implantation of a secondary IOL later in childhood (mean 2.2 years).

Conclusion: Optotype acuities were similar for the children corrected with a CL compared with IOL, while the children in the IOL group underwent more re-operations .

  • CL, contact lens
  • IOL, intraocular lens
  • PFV, persistent fetal vasculature
  • cataract
  • amblyopia
  • intraocular lens
  • contact lens
  • infants
  • CL, contact lens
  • IOL, intraocular lens
  • PFV, persistent fetal vasculature
  • cataract
  • amblyopia
  • intraocular lens
  • contact lens
  • infants

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Footnotes

  • Conflict of interest: None.

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