Astigmatism outcomes of scleral tunnel and clear corneal incisions for congenital cataract surgery
Purpose To evaluate astigmatism outcomes after congenital cataract surgery with intraocular lens implantation using clear corneal or scleral tunnel incisions. Methods We retrospectively reviewed the medical records of 46 children (67 eyes), aged 2 months to 12 years, who had undergone nontraumatic c...
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| Veröffentlicht in: | Eye (London) 2006-09, Vol.20 (9), p.1044-1048 |
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| creator | Bar-Sela, S M Spierer, A |
| description | Purpose
To evaluate astigmatism outcomes after congenital cataract surgery with intraocular lens implantation using clear corneal or scleral tunnel incisions.
Methods
We retrospectively reviewed the medical records of 46 children (67 eyes), aged 2 months to 12 years, who had undergone nontraumatic cataract extraction and intraocular lens implantation between 1996 and 2001, using a scleral tunnel incision (group 1), or a clear corneal incision (group 2). Refractive astigmatism was measured at 1 week, 3 months, and 5 months after surgery. Paired
t
-test was used to compare those variables, and Spearman's correlation was used to determine their relation to patient's age.
Results
Mean±SD astigmatism at 1 week postoperatively was 3.1±2.8 Diopter (D) and 2.1±1.7 D in groups 1 and 2, respectively. It significantly reduced to 1.1±1.2 D and 0.9±1.0 D, respectively, in the two groups at 5 months postoperatively (
P |
| doi_str_mv | 10.1038/sj.eye.6702082 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68826495</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68826495</sourcerecordid><originalsourceid>FETCH-LOGICAL-c452t-edf5c095d9c252f9852b4c02c6e72c3635fe4f6773c90f4703d9d3964b408b5b3</originalsourceid><addsrcrecordid>eNp1kM1r3DAQxUVpSTZprr21mEJ680bWl61jCElbCPTSQm9ClkeLF1tKNfJh__tqWbcLhZ4E837z9OYR8q6h24by7g73WzjAVrWU0Y69IptGtKqWQorXZEO1pDVj7OcluULcU1rEll6Qy0Y1rdZcbUh_j3nczTaPOFdxyS7OgFX0FboJkp2qvIQAU2XDUJWJTZWLKUARxuBGHGPAysfjNOwgjLkIzmabrMsVLmkH6fCWvPF2QrhZ32vy4-nx-8OX-vnb568P98-1E5LlGgYvXUk8aMck87qTrBeOMqegZY4rLj0Ir9qWO029aCkf9MC1Er2gXS97fk0-nXxfUvy1AGYzj-hgmmyAuKBRXceU0LKAH_8B93FJoWQzrOmKJdesQNsT5FJETODNSxpnmw6moeZYvcG9KdWbtfqy8GF1XfoZhjO-dl2A2xWw6Ozkkz02eOa6hopyeeHuThwWqbSazvH--_X700aweUnw1_KP_huzl6dW</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>218396392</pqid></control><display><type>article</type><title>Astigmatism outcomes of scleral tunnel and clear corneal incisions for congenital cataract surgery</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Bar-Sela, S M ; Spierer, A</creator><creatorcontrib>Bar-Sela, S M ; Spierer, A</creatorcontrib><description>Purpose
To evaluate astigmatism outcomes after congenital cataract surgery with intraocular lens implantation using clear corneal or scleral tunnel incisions.
Methods
We retrospectively reviewed the medical records of 46 children (67 eyes), aged 2 months to 12 years, who had undergone nontraumatic cataract extraction and intraocular lens implantation between 1996 and 2001, using a scleral tunnel incision (group 1), or a clear corneal incision (group 2). Refractive astigmatism was measured at 1 week, 3 months, and 5 months after surgery. Paired
t
-test was used to compare those variables, and Spearman's correlation was used to determine their relation to patient's age.
Results
Mean±SD astigmatism at 1 week postoperatively was 3.1±2.8 Diopter (D) and 2.1±1.7 D in groups 1 and 2, respectively. It significantly reduced to 1.1±1.2 D and 0.9±1.0 D, respectively, in the two groups at 5 months postoperatively (
P
<0.007). In both groups patients’ age was significantly correlated with 1-week postoperative astigmatism (group 1:
r
=0.64;
P
=0.001; group 2:
r
=−0.58;
P
=0.003), and with the change in cylinder magnitude between 1 week and 3 months postoperatively (group 1:
r
=−0.67;
P
=0.001; group 2:
r
=0.50;
P
=0.013).
Conclusion
Children who underwent congenital cataract surgery using clear corneal or scleral tunnel incisions showed high postoperative astigmatism at 1 week postoperatively, which spontaneously reduced during 5 months follow-up. Therefore, suture removal is not necessary in those cases.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/sj.eye.6702082</identifier><identifier>PMID: 16179936</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Age Factors ; Astigmatism - etiology ; Biological and medical sciences ; Cataract - congenital ; Cataract Extraction - adverse effects ; Cataract Extraction - methods ; Child ; Child, Preschool ; clinical-study ; Cornea - surgery ; Humans ; Infant ; Laboratory Medicine ; Lens diseases ; Lens Implantation, Intraocular - methods ; Medical sciences ; Medicine ; Medicine & Public Health ; Miscellaneous ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Postoperative Period ; Prognosis ; Remission, Spontaneous ; Retrospective Studies ; Sclera - surgery ; Surgery ; Surgical Oncology ; Treatment Outcome ; Vision disorders</subject><ispartof>Eye (London), 2006-09, Vol.20 (9), p.1044-1048</ispartof><rights>Royal College of Ophthalmologists 2006</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Sep 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-edf5c095d9c252f9852b4c02c6e72c3635fe4f6773c90f4703d9d3964b408b5b3</citedby><cites>FETCH-LOGICAL-c452t-edf5c095d9c252f9852b4c02c6e72c3635fe4f6773c90f4703d9d3964b408b5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18104252$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16179936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bar-Sela, S M</creatorcontrib><creatorcontrib>Spierer, A</creatorcontrib><title>Astigmatism outcomes of scleral tunnel and clear corneal incisions for congenital cataract surgery</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
To evaluate astigmatism outcomes after congenital cataract surgery with intraocular lens implantation using clear corneal or scleral tunnel incisions.
Methods
We retrospectively reviewed the medical records of 46 children (67 eyes), aged 2 months to 12 years, who had undergone nontraumatic cataract extraction and intraocular lens implantation between 1996 and 2001, using a scleral tunnel incision (group 1), or a clear corneal incision (group 2). Refractive astigmatism was measured at 1 week, 3 months, and 5 months after surgery. Paired
t
-test was used to compare those variables, and Spearman's correlation was used to determine their relation to patient's age.
Results
Mean±SD astigmatism at 1 week postoperatively was 3.1±2.8 Diopter (D) and 2.1±1.7 D in groups 1 and 2, respectively. It significantly reduced to 1.1±1.2 D and 0.9±1.0 D, respectively, in the two groups at 5 months postoperatively (
P
<0.007). In both groups patients’ age was significantly correlated with 1-week postoperative astigmatism (group 1:
r
=0.64;
P
=0.001; group 2:
r
=−0.58;
P
=0.003), and with the change in cylinder magnitude between 1 week and 3 months postoperatively (group 1:
r
=−0.67;
P
=0.001; group 2:
r
=0.50;
P
=0.013).
Conclusion
Children who underwent congenital cataract surgery using clear corneal or scleral tunnel incisions showed high postoperative astigmatism at 1 week postoperatively, which spontaneously reduced during 5 months follow-up. Therefore, suture removal is not necessary in those cases.</description><subject>Age Factors</subject><subject>Astigmatism - etiology</subject><subject>Biological and medical sciences</subject><subject>Cataract - congenital</subject><subject>Cataract Extraction - adverse effects</subject><subject>Cataract Extraction - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>clinical-study</subject><subject>Cornea - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Laboratory Medicine</subject><subject>Lens diseases</subject><subject>Lens Implantation, Intraocular - methods</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Postoperative Period</subject><subject>Prognosis</subject><subject>Remission, Spontaneous</subject><subject>Retrospective Studies</subject><subject>Sclera - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><subject>Vision disorders</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kM1r3DAQxUVpSTZprr21mEJ680bWl61jCElbCPTSQm9ClkeLF1tKNfJh__tqWbcLhZ4E837z9OYR8q6h24by7g73WzjAVrWU0Y69IptGtKqWQorXZEO1pDVj7OcluULcU1rEll6Qy0Y1rdZcbUh_j3nczTaPOFdxyS7OgFX0FboJkp2qvIQAU2XDUJWJTZWLKUARxuBGHGPAysfjNOwgjLkIzmabrMsVLmkH6fCWvPF2QrhZ32vy4-nx-8OX-vnb568P98-1E5LlGgYvXUk8aMck87qTrBeOMqegZY4rLj0Ir9qWO029aCkf9MC1Er2gXS97fk0-nXxfUvy1AGYzj-hgmmyAuKBRXceU0LKAH_8B93FJoWQzrOmKJdesQNsT5FJETODNSxpnmw6moeZYvcG9KdWbtfqy8GF1XfoZhjO-dl2A2xWw6Ozkkz02eOa6hopyeeHuThwWqbSazvH--_X700aweUnw1_KP_huzl6dW</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>Bar-Sela, S M</creator><creator>Spierer, A</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060901</creationdate><title>Astigmatism outcomes of scleral tunnel and clear corneal incisions for congenital cataract surgery</title><author>Bar-Sela, S M ; Spierer, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-edf5c095d9c252f9852b4c02c6e72c3635fe4f6773c90f4703d9d3964b408b5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Age Factors</topic><topic>Astigmatism - etiology</topic><topic>Biological and medical sciences</topic><topic>Cataract - congenital</topic><topic>Cataract Extraction - adverse effects</topic><topic>Cataract Extraction - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>clinical-study</topic><topic>Cornea - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Laboratory Medicine</topic><topic>Lens diseases</topic><topic>Lens Implantation, Intraocular - methods</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Postoperative Period</topic><topic>Prognosis</topic><topic>Remission, Spontaneous</topic><topic>Retrospective Studies</topic><topic>Sclera - surgery</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><topic>Vision disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bar-Sela, S M</creatorcontrib><creatorcontrib>Spierer, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bar-Sela, S M</au><au>Spierer, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Astigmatism outcomes of scleral tunnel and clear corneal incisions for congenital cataract surgery</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>20</volume><issue>9</issue><spage>1044</spage><epage>1048</epage><pages>1044-1048</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Purpose
To evaluate astigmatism outcomes after congenital cataract surgery with intraocular lens implantation using clear corneal or scleral tunnel incisions.
Methods
We retrospectively reviewed the medical records of 46 children (67 eyes), aged 2 months to 12 years, who had undergone nontraumatic cataract extraction and intraocular lens implantation between 1996 and 2001, using a scleral tunnel incision (group 1), or a clear corneal incision (group 2). Refractive astigmatism was measured at 1 week, 3 months, and 5 months after surgery. Paired
t
-test was used to compare those variables, and Spearman's correlation was used to determine their relation to patient's age.
Results
Mean±SD astigmatism at 1 week postoperatively was 3.1±2.8 Diopter (D) and 2.1±1.7 D in groups 1 and 2, respectively. It significantly reduced to 1.1±1.2 D and 0.9±1.0 D, respectively, in the two groups at 5 months postoperatively (
P
<0.007). In both groups patients’ age was significantly correlated with 1-week postoperative astigmatism (group 1:
r
=0.64;
P
=0.001; group 2:
r
=−0.58;
P
=0.003), and with the change in cylinder magnitude between 1 week and 3 months postoperatively (group 1:
r
=−0.67;
P
=0.001; group 2:
r
=0.50;
P
=0.013).
Conclusion
Children who underwent congenital cataract surgery using clear corneal or scleral tunnel incisions showed high postoperative astigmatism at 1 week postoperatively, which spontaneously reduced during 5 months follow-up. Therefore, suture removal is not necessary in those cases.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16179936</pmid><doi>10.1038/sj.eye.6702082</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Eye (London), 2006-09, Vol.20 (9), p.1044-1048 |
| issn | 0950-222X 1476-5454 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Age Factors Astigmatism - etiology Biological and medical sciences Cataract - congenital Cataract Extraction - adverse effects Cataract Extraction - methods Child Child, Preschool clinical-study Cornea - surgery Humans Infant Laboratory Medicine Lens diseases Lens Implantation, Intraocular - methods Medical sciences Medicine Medicine & Public Health Miscellaneous Ophthalmology Pharmaceutical Sciences/Technology Postoperative Period Prognosis Remission, Spontaneous Retrospective Studies Sclera - surgery Surgery Surgical Oncology Treatment Outcome Vision disorders |
| title | Astigmatism outcomes of scleral tunnel and clear corneal incisions for congenital cataract surgery |
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