Selected studies of paediatric cataract surgery
| BCVA | ||||||||
|---|---|---|---|---|---|---|---|---|
| Study | No of patients (no of eyes) | Age range (mean) | Mean follow up | >6/18 (%) | >6/60 (%) | Type of surgery (no of eyes) | Posterior capsule opacity | % Other (complication) |
| No = number; BCVA = best corrected visual acuity; NA = not available; PC = posterior capsule; RD = retinal detachment; ECCE+IOL = extracapsular cataract surgery + intraocular lens; ECCE+PPC+AV = extracapsular cataract surgery + primary posterior capsulotomy + anterior vitrectomy. | ||||||||
| Taylor (1981)35 | 29 (51) | 0–18 months (16 weeks) | 18 months | NA | NA | Aspiration alone PC intact (28) | 68.0% | Not mentioned |
| 0–18 months (17.4 weeks) | 18 months | NA | NA | Lensectomy (23) | 0% | Not mentioned | ||
| Chrousos et al (1984)36 | (392) | 0–20 years | 5.5 years | NA | NA | Aspiration alone (304) | 62.1% | 7.2% (glaucoma) |
| 1.3% (RD) | ||||||||
| Roto extraction and primary capsulotomy -small (34) | 11.7% | 5.8% (glaucoma) | ||||||
| 2.9% (RD) | ||||||||
| Ocutome aspiration-wide post capsulotomy (54) | 0% | 0% (glaucoma) | ||||||
| 1.8% (RD) | ||||||||
| Keech et al (1989)37 | 76 (125) | 0–30 months (18 weeks) | 44.8 months | NA | NA | Aspiration alone (20) | 75.0% | 20% (glaucoma) |
| 5% (RD) | ||||||||
| Lensectomy (105) | 11.0% | 11.4% (glaucoma) | ||||||
| 0.95% (RD) | ||||||||
| Basti et al (1996)38 | (192) | 2–8 years | 11.3 months | 44.15% | 63.64% | Lensectomy anterior vitrectomy (LAV) (23) | 0% | 0% RD |
| 0% pupillary capture | ||||||||
| ECCE+IOL (87) | 43.7% | 1.14% (RD) | ||||||
| 8.04% (pupillary capture) | ||||||||
| 13.8% (uveitis) | ||||||||
| 0% (IOL dislocation) | ||||||||
| ECCE+PPC+AV+IOL (82) | 3.6% | 1.22% (RD) | ||||||
| 8.53% (pupillary capture) | ||||||||
| 15.9% (uveitis) | ||||||||
| 2.44% (IOL dislocation) | ||||||||
| Eckstein et al (1999)39 | 56 (112) | 3 months–10 years (53 months) | 3 years | 57.1% | 94.6% | Lens aspiration with primary posterior capsulotomy (56) | 66.1% | 1.8% (glaucoma) |
| 16% (amblyopia) | ||||||||
| 1.8% (pupil decentration) | ||||||||
| Lensectomy (vitreophage) (56) | 1.8% | 1.8% (glaucoma) | ||||||
| 3.6% (RD) | ||||||||
| 16% (amblyopia) | ||||||||
| 3.6% (pupil decentration) | ||||||||
| Yorston et al (2001)40 | 71 (118) | 0–11 years (3.5 years) | 3 months | 44.0% | 91.2% | Anterior capsulotomy and lens aspiration (56) | 35.7% | 1.7% (glaucoma) |
| 30.5% (uveitis) | ||||||||
| 31.4% (amblyopia) | ||||||||
| Anterior capsulotomy + lens aspiration + primary posterior capsulectomy + anterior vitrectomy (62) | 1.6% | |||||||