Visual outcome after paediatric cataract surgery: is age a major factor?
AIMS To determine functional results after unilateral and bilateral cataract surgery in children with different aphakic optical correction. METHODS In this retrospective study, we evaluated visual acuity and binocular vision in 107 children who underwent cataract surgery during the 10 year period fr...
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| Veröffentlicht in: | British journal of ophthalmology 1998-09, Vol.82 (9), p.1022-1025 |
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| creator | Lesueur, Laurence C Arné, Jean L Chapotot, Eric C Thouvenin, Dominique Malecaze, François |
| description | AIMS To determine functional results after unilateral and bilateral cataract surgery in children with different aphakic optical correction. METHODS In this retrospective study, we evaluated visual acuity and binocular vision in 107 children who underwent cataract surgery during the 10 year period from 1985 to 1995. Aphakia was corrected by an intracapsular intraocular lens (IOL), spectacles or contact lenses. RESULTS Mean visual acuity was >20/40 (20/63 ( |
| doi_str_mv | 10.1136/bjo.82.9.1022 |
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METHODS In this retrospective study, we evaluated visual acuity and binocular vision in 107 children who underwent cataract surgery during the 10 year period from 1985 to 1995. Aphakia was corrected by an intracapsular intraocular lens (IOL), spectacles or contact lenses. RESULTS Mean visual acuity was >20/40 (<0.3 log MAR) with normal binocular vision in 58 children over 7 months of age operated on for bilateral cataracts. Pseudophakic eyes regained visual acuity >20/63 (<0.5 log MAR) more often (90%) than aphakic eyes (46%) (p<0.001). Binocular vision was also achieved more often after IOL implantation (p<0.001). Visual outcome of early bilateral cataracts was less satisfactory in children with abnormal foveolar function. For 49 children who had surgery for unilateral cataracts, prognosis was poor when surgery was performed before the age of 7 months. For cataract surgery in older children (⩾7 months) mean visual acuities were better with IOL implantation (p<0.05). CONCLUSION Cataract surgery with unilateral and bilateral IOL implantation can provide a beneficial effect on final visual outcome in children who are operated on before abnormal foveolar function develops.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.82.9.1022</identifier><identifier>PMID: 9893592</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Age ; Age Factors ; binocular vision ; Biological and medical sciences ; Cataract Extraction ; Cataracts ; Child ; Child, Preschool ; Contact Lenses ; Eye surgery ; Hospitals ; Humans ; Infant ; intraocular lens ; Lens diseases ; Lens Implantation, Intraocular ; Medical sciences ; Ophthalmology ; Original articles - Clinical science ; paediatric cataract ; Pseudophakia - physiopathology ; Retrospective Studies ; Surgery ; Surgical techniques ; Treatment Outcome ; Vision, Binocular ; Visual Acuity ; visual outcome</subject><ispartof>British journal of ophthalmology, 1998-09, Vol.82 (9), p.1022-1025</ispartof><rights>British Journal of Ophthalmology</rights><rights>1998 INIST-CNRS</rights><rights>Copyright: 1998 British Journal of Ophthalmology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b510t-4453ce2a74c448b55917a3c9fef516f6ec475a0f78082fa065144b50b646a3eb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1722742/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1722742/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2361318$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9893592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lesueur, Laurence C</creatorcontrib><creatorcontrib>Arné, Jean L</creatorcontrib><creatorcontrib>Chapotot, Eric C</creatorcontrib><creatorcontrib>Thouvenin, Dominique</creatorcontrib><creatorcontrib>Malecaze, François</creatorcontrib><title>Visual outcome after paediatric cataract surgery: is age a major factor?</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>AIMS To determine functional results after unilateral and bilateral cataract surgery in children with different aphakic optical correction. METHODS In this retrospective study, we evaluated visual acuity and binocular vision in 107 children who underwent cataract surgery during the 10 year period from 1985 to 1995. Aphakia was corrected by an intracapsular intraocular lens (IOL), spectacles or contact lenses. RESULTS Mean visual acuity was >20/40 (<0.3 log MAR) with normal binocular vision in 58 children over 7 months of age operated on for bilateral cataracts. Pseudophakic eyes regained visual acuity >20/63 (<0.5 log MAR) more often (90%) than aphakic eyes (46%) (p<0.001). Binocular vision was also achieved more often after IOL implantation (p<0.001). Visual outcome of early bilateral cataracts was less satisfactory in children with abnormal foveolar function. For 49 children who had surgery for unilateral cataracts, prognosis was poor when surgery was performed before the age of 7 months. For cataract surgery in older children (⩾7 months) mean visual acuities were better with IOL implantation (p<0.05). CONCLUSION Cataract surgery with unilateral and bilateral IOL implantation can provide a beneficial effect on final visual outcome in children who are operated on before abnormal foveolar function develops.</description><subject>Adolescent</subject><subject>Age</subject><subject>Age Factors</subject><subject>binocular vision</subject><subject>Biological and medical sciences</subject><subject>Cataract Extraction</subject><subject>Cataracts</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Contact Lenses</subject><subject>Eye surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>intraocular lens</subject><subject>Lens diseases</subject><subject>Lens Implantation, Intraocular</subject><subject>Medical sciences</subject><subject>Ophthalmology</subject><subject>Original articles - Clinical science</subject><subject>paediatric cataract</subject><subject>Pseudophakia - physiopathology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Treatment Outcome</subject><subject>Vision, Binocular</subject><subject>Visual Acuity</subject><subject>visual outcome</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1rFDEchoNY6rp69CgMKOJl1iSTTw-KbqsVSvWgxVv4TZqsGWcmazIj9r9vyi7rx8VTCM_Dmze8CD0ieEVII160XVwputIrgim9gxaECVVTLPVdtMAYy5oQQe6h-zl35UoFkcfoWCvdcE0X6Owy5Bn6Ks6TjYOrwE8uVVtwVwGmFGxlYYIEdqrynDYuXb-sQq5gU8xqgC6myhcY0-sH6MhDn93D_blEX96dfl6f1ecf339YvzmvW07wVDPGG-soSGYZUy3nmkhorPbOcyK8cJZJDthLhRX1gAUnjLUct4IJaFzbLNGrXe52bgd3Zd04JejNNoUB0rWJEMzfZAzfzCb-NERSKhktAc_2ASn-mF2ezBCydX0Po4tzNkITRmmpuURP_hG7OKexfK5kSaUFlUQUq95ZNsWck_OHKgSb24FMGcgoarS5Haj4j__sf7D3ixT-dM8hW-h9gtGGfNBoI0hD1O9nQ57crwOG9N0I2UhuLi7Xhn06kUp9fWsuiv9857dD95-GN2mUs_E</recordid><startdate>19980901</startdate><enddate>19980901</enddate><creator>Lesueur, Laurence C</creator><creator>Arné, Jean L</creator><creator>Chapotot, Eric C</creator><creator>Thouvenin, Dominique</creator><creator>Malecaze, François</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19980901</creationdate><title>Visual outcome after paediatric cataract surgery: is age a major factor?</title><author>Lesueur, Laurence C ; Arné, Jean L ; Chapotot, Eric C ; Thouvenin, Dominique ; Malecaze, François</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b510t-4453ce2a74c448b55917a3c9fef516f6ec475a0f78082fa065144b50b646a3eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Age Factors</topic><topic>binocular vision</topic><topic>Biological and medical sciences</topic><topic>Cataract Extraction</topic><topic>Cataracts</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Contact Lenses</topic><topic>Eye surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>intraocular lens</topic><topic>Lens diseases</topic><topic>Lens Implantation, Intraocular</topic><topic>Medical sciences</topic><topic>Ophthalmology</topic><topic>Original articles - Clinical science</topic><topic>paediatric cataract</topic><topic>Pseudophakia - physiopathology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Treatment Outcome</topic><topic>Vision, Binocular</topic><topic>Visual Acuity</topic><topic>visual outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lesueur, Laurence C</creatorcontrib><creatorcontrib>Arné, Jean L</creatorcontrib><creatorcontrib>Chapotot, Eric C</creatorcontrib><creatorcontrib>Thouvenin, Dominique</creatorcontrib><creatorcontrib>Malecaze, François</creatorcontrib><collection>Istex</collection><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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical 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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lesueur, Laurence C</au><au>Arné, Jean L</au><au>Chapotot, Eric C</au><au>Thouvenin, Dominique</au><au>Malecaze, François</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual outcome after paediatric cataract surgery: is age a major factor?</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>1998-09-01</date><risdate>1998</risdate><volume>82</volume><issue>9</issue><spage>1022</spage><epage>1025</epage><pages>1022-1025</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>AIMS To determine functional results after unilateral and bilateral cataract surgery in children with different aphakic optical correction. METHODS In this retrospective study, we evaluated visual acuity and binocular vision in 107 children who underwent cataract surgery during the 10 year period from 1985 to 1995. Aphakia was corrected by an intracapsular intraocular lens (IOL), spectacles or contact lenses. RESULTS Mean visual acuity was >20/40 (<0.3 log MAR) with normal binocular vision in 58 children over 7 months of age operated on for bilateral cataracts. Pseudophakic eyes regained visual acuity >20/63 (<0.5 log MAR) more often (90%) than aphakic eyes (46%) (p<0.001). Binocular vision was also achieved more often after IOL implantation (p<0.001). Visual outcome of early bilateral cataracts was less satisfactory in children with abnormal foveolar function. For 49 children who had surgery for unilateral cataracts, prognosis was poor when surgery was performed before the age of 7 months. For cataract surgery in older children (⩾7 months) mean visual acuities were better with IOL implantation (p<0.05). CONCLUSION Cataract surgery with unilateral and bilateral IOL implantation can provide a beneficial effect on final visual outcome in children who are operated on before abnormal foveolar function develops.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>9893592</pmid><doi>10.1136/bjo.82.9.1022</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Age Age Factors binocular vision Biological and medical sciences Cataract Extraction Cataracts Child Child, Preschool Contact Lenses Eye surgery Hospitals Humans Infant intraocular lens Lens diseases Lens Implantation, Intraocular Medical sciences Ophthalmology Original articles - Clinical science paediatric cataract Pseudophakia - physiopathology Retrospective Studies Surgery Surgical techniques Treatment Outcome Vision, Binocular Visual Acuity visual outcome |
| title | Visual outcome after paediatric cataract surgery: is age a major factor? |
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