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Titolo:
A comparison of grating visual acuity, strabismus, and reoperation outcomes among children with aphakia and pseudophakia after unilateral cataract surgery during the first six months of life
Autore:
Lambert, SR; Lynn, M; Drews-Botsch, C; Loupe, D; Plager, DA; Medow, NB; Wilson, ME; Buckley, EG; Drack, AV; Fawcett, SL;
Indirizzi:
Emory Univ, Ctr Eye, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322 mory Univ, Ctr Eye, Atlanta, GA 30322 USA Emory Univ, Sch Publ Hlth, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322 niv, Sch Publ Hlth, Atlanta, GA 30322 USA Indiana Univ, Med Ctr, Indianapolis, IN USA Indiana Univ Indianapolis IN USA ana Univ, Med Ctr, Indianapolis, IN USA Manhattan Eye & Ear Infirm, New York, NY USA Manhattan Eye & Ear Infirm New York NY USA Ear Infirm, New York, NY USA Storm Eye Inst, Charleston, SC 29425 USA Storm Eye Inst Charleston SC USA29425 Eye Inst, Charleston, SC 29425 USA Duke Univ, Med Ctr, Durham, NC USA Duke Univ Durham NC USADuke Univ, Med Ctr, Durham, NC USA Retina Fdn SW, Dallas, TX USA Retina Fdn SW Dallas TX USARetina Fdn SW, Dallas, TX USA
Titolo Testata:
JOURNAL OF AAPOS
fascicolo: 2, volume: 5, anno: 2001,
pagine: 70 - 75
SICI:
1091-8531(200104)5:2<70:ACOGVA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAOCULAR-LENS IMPLANTATION; CONGENITAL CATARACTS; INFANTS; COMPLICATIONS; CAPSULECTOMY; MANAGEMENT; CHOICE; VISION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Lambert, SR Emory Univ, Ctr Eye, 1365-B Clifton Rd NE, Atlanta, GA 30322 USA Emory Univ 1365-B Clifton Rd NE Atlanta GA USA 30322 30322 USA
Citazione:
S.R. Lambert et al., "A comparison of grating visual acuity, strabismus, and reoperation outcomes among children with aphakia and pseudophakia after unilateral cataract surgery during the first six months of life", J AAPOS, 5(2), 2001, pp. 70-75

Abstract

Purpose: The method of correcting aphakia after unilateral cataract extraction during infancy is controversial. Some authorities advocate correction with an intraocular lens (IOL) whereas others advocate correction with a contact lens (CL). We compared grating visual acuity, alignment, and reoperative outcomes in age-matched children treated with these 2 modalities at 5 clinical centers. Methods:Twenty-five infants born in 1997 or 1998 with a dense unilateral congenital cataract who had cataract surgery coupled with (IOL group, n = 12) or without (CL group, n = 13) primary IOL implantation were enrolled in this study. All patients were prescribed half-time occlusiontherapy. In July 1999, their grating visual acuities, ocular alignments, and reoperation rates were assessed. Results: The mean grating visual acuity(LogMAR) for the affected eye was 0.70 +/- 0.32 for the IOL group and 0.87+/- 0.31 for the CL group (P=.19). The mean interocular difference in grating visual acuity was 0.26 +/- 0.30 for the IOL group and 0.50 +/- 0.28 forthe CL group (P=.048). The incidence of strabismus (>10 PD) was 75% in theIOL group compared with 92% in the CL group (P=.24). The incidence of reoperations was 83% in the IOL group compared with 23% in the CL group (P=.003), Conclusions: Our preliminary data suggest that correcting aphakia after unilateral congenital cataract surgery with primary IOL implantation results in an improved visual outcome but a higher rate of complications requiring reoperation. A randomized clinical trial, the Infant Aphakia Treatment Study, is planned to further study the optimal treatment for aphakia following unilateral cataract extraction during infancy.

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Documento generato il 09/04/20 alle ore 12:51:10