Outcomes of Unilateral Cataracts in Infants and Toddlers 7 to 24 Months of Age: Toddler Aphakia and Pseudophakia Study (TAPS).
Ophthalmology
; 126(8): 1189-1195, 2019 08.
Article
in En
| MEDLINE
| ID: mdl-30880109
ABSTRACT
PURPOSE:
To evaluate outcomes of unilateral cataract surgery in children 7 to 24 months of age.DESIGN:
Retrospective case series at 10 Infant Aphakia Treatment Study (IATS) sites.PARTICIPANTS:
The Toddler Aphakia and Pseudophakia Study is a registry of children treated by surgeons who participated in the IATS.METHODS:
Children underwent unilateral cataract surgery with or without intraocular lens (IOL) placement during the IATS enrollment years of 2004 and 2010. MAIN OUTCOMEMEASURES:
Intraoperative complications, adverse events (AEs), visual acuity, and strabismus.RESULTS:
Fifty-six children were included with a mean postoperative follow-up of 47.6 months. Median age at cataract surgery was 13.9 months (range, 7.2-22.9). Ninety-two percent received a primary IOL. Intraoperative complications occurred in 4 patients (7%). At 5 years of age, visual acuity of treated eyes was very good (≥20/40) in 11% and poor (≤20/200) in 44%. Adverse events were identified in 24%, with a 4% incidence of glaucoma suspect. An additional unplanned intraocular surgery occurred in 14% of children. Neither AEs nor intraocular reoperations were more common for children with surgery at 7 to 12 months of age than for those who underwent surgery at 13 to 24 months of age (AE rate, 21% vs. 25% [P = 0.60]; reoperation rate, 13% vs. 16% [P = 1.00]).CONCLUSIONS:
Although most children underwent IOL implantation concurrent with unilateral cataract removal, the incidence of complications, reoperations, and glaucoma was low when surgery was performed between 7 and 24 months of age and compared favorably with same-site IATS data for infants undergoing surgery before 7 months of age. Our study showed that IOL implantation is relatively safe in children older than 6 months and younger than 2 years.
Full text:
1
Database:
MEDLINE
Main subject:
Aphakia, Postcataract
/
Cataract
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Cataract Extraction
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Pseudophakia
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Lens Implantation, Intraocular
Type of study:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
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Infant
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Male
Language:
En
Journal:
Ophthalmology
Year:
2019
Type:
Article