Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2016
Ocular axial growth in pseudophakic eyes of patients operated for monocular infantile cataract: a comparison of operated and fellow eyes measured at surgery and 5 or more years later.
Сравнительное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tadros Dina, Trivedi Rupal H, Wilson M Edward, Davidson Jennifer D
Аннотация
PURPOSE: To report the change in axial length (AL) over time and to compare the percentage of AL growth of pseudophakic eyes operated on for monocular cataract to that of the unoperated fellow eyes.
METHODS: The medical records of children operated on by a single surgeon for monocular congenital cataract before 7 months of age were retrospectively reviewed. Inclusion criteria were corneal diameter of ≥9 mm and availability of AL data for >5 years' follow-up after cataract surgery and >1 year after IOL implantation (in case of secondary IOL). Cataract with persistent fetal vasculature causing stretching of the ciliary processes, diagnosis of glaucoma or glaucoma suspect, and eyes with aphakia were excluded. Globe AL was measured by immersion ultrasound at surgery and 5 or more years later.
RESULTS: A total of 24 children were identified. Average age at cataract surgery was 2.6 ± 2.1 months. Age at last follow-up was 8.4 ± 2.8 years and duration of follow-up was 8.2 ± 2.8 years. 13 eyes received a primary IOL and 11 eyes received a secondary IOL. AL was significantly different between operative and fellow eyes, preoperatively (18.1 mm vs 18.7 mm, P = 0.004), and at the final follow-up (22.2 mm vs 23.0 mm, P = 0.03). Differences in AL growth of operated and fellow eyes were not significant (4.1 mm vs 4.4 mm, P = 0.4). Similarly, percentage of AL growth of operated and fellow eyes was also not significantly different (23% vs 23.6%, P = 0.7).
CONCLUSIONS: Eyes operated for monocular cataract have similar axial growth to that of fellow unoperated eyes, despite having a shorter AL at the time of surgery.
METHODS: The medical records of children operated on by a single surgeon for monocular congenital cataract before 7 months of age were retrospectively reviewed. Inclusion criteria were corneal diameter of ≥9 mm and availability of AL data for >5 years' follow-up after cataract surgery and >1 year after IOL implantation (in case of secondary IOL). Cataract with persistent fetal vasculature causing stretching of the ciliary processes, diagnosis of glaucoma or glaucoma suspect, and eyes with aphakia were excluded. Globe AL was measured by immersion ultrasound at surgery and 5 or more years later.
RESULTS: A total of 24 children were identified. Average age at cataract surgery was 2.6 ± 2.1 months. Age at last follow-up was 8.4 ± 2.8 years and duration of follow-up was 8.2 ± 2.8 years. 13 eyes received a primary IOL and 11 eyes received a secondary IOL. AL was significantly different between operative and fellow eyes, preoperatively (18.1 mm vs 18.7 mm, P = 0.004), and at the final follow-up (22.2 mm vs 23.0 mm, P = 0.03). Differences in AL growth of operated and fellow eyes were not significant (4.1 mm vs 4.4 mm, P = 0.4). Similarly, percentage of AL growth of operated and fellow eyes was also not significantly different (23% vs 23.6%, P = 0.7).
CONCLUSIONS: Eyes operated for monocular cataract have similar axial growth to that of fellow unoperated eyes, despite having a shorter AL at the time of surgery.