BACKGROUND AND OBJECTIVE: To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts. PATIENTS AND METHODS: Retrospective review of all patients seen b...BACKGROUND AND OBJECTIVE: To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts. PATIENTS AND METHODS: Retrospective review of all patients seen by a pediatric ophthalmologist from 1970 to 2002. Patients were seen at a university-based clinical practice setting. This study de-fines the incidence of late post-lensectomy complications. Final long-term visual acuities were correlated with specific surgical complications and ocular and systemic anomalies. RESULTS: There were 193 eyes of 138 patients who had lensectomy for pediatric cataracts. The average follow-up time was 10.8 ± 6.7 years (range,3 months to 31.3 years). The most common postoperative complication was aphakic glaucoma (20.2% ) at an average of 3.4± 3.7 years after lensectomy surgery. At last follow-up, the median visual acuity was 20/40 in eyes without complications and 20/80 in eyes with complications. CONCLUSIONS: Aphakic glaucoma was the most common postoperative complication (20.2% ). Most eyes with associated ocular and systemic anomalies and postoperative complications have poorer visual outcomes.展开更多
文摘BACKGROUND AND OBJECTIVE: To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts. PATIENTS AND METHODS: Retrospective review of all patients seen by a pediatric ophthalmologist from 1970 to 2002. Patients were seen at a university-based clinical practice setting. This study de-fines the incidence of late post-lensectomy complications. Final long-term visual acuities were correlated with specific surgical complications and ocular and systemic anomalies. RESULTS: There were 193 eyes of 138 patients who had lensectomy for pediatric cataracts. The average follow-up time was 10.8 ± 6.7 years (range,3 months to 31.3 years). The most common postoperative complication was aphakic glaucoma (20.2% ) at an average of 3.4± 3.7 years after lensectomy surgery. At last follow-up, the median visual acuity was 20/40 in eyes without complications and 20/80 in eyes with complications. CONCLUSIONS: Aphakic glaucoma was the most common postoperative complication (20.2% ). Most eyes with associated ocular and systemic anomalies and postoperative complications have poorer visual outcomes.
