Department of Cornea and Refractive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, South Karegar avenue, Qazvin square, Tehran, Iran.
Int Ophthalmol. 2022 Feb;42(2):541-547. doi: 10.1007/s10792-021-02025-3. Epub 2021 Oct 11.
To present the 5-year outcomes obtained from the infantile cataract surgery in pediatric population.
Medical records of all patients with unilateral or bilateral infantile cataract who had undergone lensectomy and anterior vitrectomy with or without intraocular lens implantation before 10 years of age were evaluated. Patients with any history of ocular trauma, retinal or corneal dystrophy, ocular or orbital surgery, retinopathy of prematurity, raised intraocular pressure at the time of diagnosis, or incomplete follow-up sessions were excluded from the research.
A total of 85 eyes belonged to 52 patients were analyzed. Bilateral and unilateral diseases were present in 33 (63.5%) and 19 (36.5%) patients, respectively. After performing the first operation, 43 (50.6%) eyes still remained aphakic. The mean corrected distance visual acuity (CDVA) of the aphakic and pseudophakic eyes was estimated as 0.77 ± 0.52 and 0.43 ± 0.39 logMAR with no statistical difference. The age at the time of performing the cataract surgery was not associated with the final CDVA in either group. Complications in the anterior segment structures were noted in 39 (45%) eyes. Strabismus and amblyopia were noted in 52 (61%) and 75 (88.2%) eyes, respectively. Glaucoma was found in 17 (20%) eyes with no correlation with the final CDVA, age at the time of cataract surgery, or the status of the lens.
Due to high prevalence rates of amblyopia, strabismus, and glaucoma after the infantile cataract surgery, specific attention should be paid to these complications in each follow-up examination.
介绍小儿白内障手术 5 年的结果。
评估了所有 10 岁以下行晶状体切除术和前段玻璃体切除术，伴或不伴人工晶状体植入术的单侧或双侧婴幼儿白内障患者的病历。排除有眼部创伤史、视网膜或角膜营养不良、眼部或眼眶手术史、早产儿视网膜病变、诊断时眼压升高或随访不完整的患者。
共分析了 52 例患者的 85 只眼。双侧和单侧疾病分别见于 33 例（63.5%）和 19 例（36.5%）患者。首次手术后，仍有 43 只（50.6%）眼为无晶状体眼。无晶状体眼和人工晶状体眼的平均矫正视力（CDVA）分别为 0.77±0.52 和 0.43±0.39 logMAR，无统计学差异。两组中白内障手术时的年龄均与最终 CDVA 无关。前节结构并发症见于 39 只（45%）眼。斜视和弱视分别见于 52 只（61%）和 75 只（88.2%）眼。青光眼见于 17 只（20%）眼，与最终 CDVA、白内障手术时的年龄或晶状体状态均无相关性。
由于婴幼儿白内障手术后弱视、斜视和青光眼的发生率较高，因此在每次随访检查中都应特别注意这些并发症。
