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Repka, M.X., Dean, T.W., Lazar, E.L., Yen, K.G., Lenhart, P.D., Freedman, S.F., Hug, D., Rahmani, B., Wang, S.X., Kraker, R.T., Wallace, D.K. and Pediatric Eye Disease Investigator Group (2016) Cataract Surgery in Children from Birth to Less Than 13 Years of Age: Baseline Characteristics of the Cohort. Ophthalmology, 123, 2462-2473. https://doi.org/10.1016/j.ophtha.2016.09.003

has been cited by the following article:

• TITLE: Surgical Outcomes of Nontraumatic Pediatric Cataracts

  AUTHORS: Aslihan Uzun, Huban Atilla

  KEYWORDS: Congenital Cataract, Pediatric Cataract, Visual Axis Opacification, Glaucoma, Surgery

  JOURNAL NAME: Open Journal of Ophthalmology, Vol.10 No.2, May 8, 2020

  ABSTRACT: Purpose: To evaluate post-surgical complications in patients who were operated for nontraumatic pediatric cataracts in our clinic. Methods: Medical records of 62 patients (101 eyes) that underwent cataract surgery younger than 15 years of age, without history of ocular trauma and with a minimum follow-up period of 6 months, were reviewed retrospectively. Results: The most common initial complaint was leukocoria. Thirty-nine patients (62.9%) had bilateral cataracts and 23 patients (37.1%) had unilateral cataracts. The most common type was posterior polar cataract (22%) in patients with unilateral cataracts, and total cataract (33%) in patients with bilateral cataracts. The overall prevalence of postoperative complications was 58%, visual axis opacification (VAO) being the most common one (39%). The incidence of VAO was significantly higher in eyes with intact posterior capsules. Secondary glaucoma occurred in 12 (12%) eyes. Thirty-one (50%) patients were orthophoria, 17 (27%) patients had esotropia, and 14 (23%) patients had exotropia. Additional surgery for all of these complications was performed in 53 (53%) eyes. Conclusions: Despite appropriate surgical treatment of nontraumatic pediatric cataracts, post-surgical complications including VAO, glaucoma, or strabismus remain an important cause of morbidity in these patients. Posterior capsulotomy and anterior vitrectomy must be performed in all children below 6 years to reduce the need for additional surgery for VAO.