Complications of Pediatric Lensectomy in 193 Eyes

Chen, Teresa C.; Bhatia, Lini S.; Walton, David S.
January 2005
Ophthalmic Surgery, Lasers & Imaging;Jan/Feb2005, Vol. 36 Issue 1, p6
Academic Journal
BACKGROUND AND OBJECTIVE: To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts. PATIENTS AND METHODS: Retrospective review of all patients seen by a pediatric ophthalmologist from 1970 to 2002. Patients were seen at a university-based clinical practice setting. This study defines the incidence of late post-lensectomy complications. Final long-term visual acuities were correlated with specific surgical complications and ocular and systemic anomalies. RESULTS: There were 193 eyes of 138 patients who had lensectomy for pediatric cataracts. The average follow-up time was 10.8 ± 6.7 years (range, 3 months to 31.3 years). The most common postoperative complication was aphakic glaucoma (20.2%) at an average of 3.4 ± 3.7 years after lensectomy surgery. At last follow-up, the median visual acuity was 20/40 in eyes without complications and 20/80 in eyes with complications. CONCLUSIONS: Aphakic glaucoma was the most common postoperative complication (20.2%). Most eyes with associated ocular and systemic anomalies and postoperative complications have poorer visual outcomes.


Related Articles

  • How to Head Off Endophthalmitis. Speaker, Mark // Review of Ophthalmology;Mar2000, Vol. 7 Issue 3, p74 

    Offers tips in reducing the risk for patients to develop endophthalmitis after an eye surgery in the United States. Importance of catching signs or symptoms of external disease; Need for the physicians to maintain the sterility of the procedure; Instillation of five percent iodine and quinolone...

  • Therapy Changes Due to LASIK. Fanelli, James L. // Review of Optometry;12/15/2000, Vol. 137 Issue 12, p56 

    Presents a clinical case of a patient diagnosed of having ocular hypertension, recommended for LASIK surgery. Laboratory findings; Treatments initiated; Postoperative outcome.

  • Clinical tools identify weak zonules in cases of exfoliation syndrome.  // Ocular Surgery News;4/10/2012, Vol. 30 Issue 7, p14 

    The article confirms the effect of accumulated exfoliation material in the weakening of zonules and lens instability of the eye.

  • Surgical Results of Bleb Revision With Scleral Patch Graft for Late-Onset Bleb Complications. Halkiadakis, Ioannis; Lim, Pauline; Moroi, Sayoko E. // Ophthalmic Surgery, Lasers & Imaging;Jan/Feb2005, Vol. 36 Issue 1, p14 

    BACKGROUND AND OBJECTIVE: To describe the results of bleb revision with scleral patch graft for late-onset bleb-related complications. PATIENTS AND METHODS: A retrospective case series between October 1996 and March 2003. RESULTS: Fourteen patients had surgery for bleb leak, hypotonous...

  • Presumed Sterile Endophthalmitis Following Intravitreal Triamcinolone Acetonide Injection. Moshfeghi, Darius M.; Kaiser, Peter K.; Bakri, Sophie J.; Kaiser, Richard S.; Maturi, Raj K.; Sears, Jonathan E.; Scott, Ingrid U.; Belmont, Jonathan; Beer, Paul M.; Quiroz-Mercado, Hugo; Mieler, William F. // Ophthalmic Surgery, Lasers & Imaging;Jan/Feb2005, Vol. 36 Issue 1, p24 

    BACKGROUND AND OBJECTIVE: To report acute postoperative, presumed sterile endophthalmitis following intravitreal injection of triamcinolone acetonide (IVTA). PATIENTS AND METHODS: Retrospective, interventional, multicenter study of patients with acute sterile endophthalmitis following IVTA...

  • Evidence of Association of Preexisting Dry Eye with Poorer Outcomes After Refractive Surgery.  // Ophthalmology Times;7/15/2009 Improving Patient Outcome, Vol. 34, p8 

    The article discusses the aspects of dry eye syndromes and the efficacy of refractive surgery for such eye disease in the U.S. It notes that the core mechanisms of dry eye involve tear hyperosmolarity, tear film instability, and melbomian gland dysfunction associated with blepharitis. It reports...

  • LASIK RISKS ARE MINIMAL. Meszaros, Liz // Optometry Times;Dec2012 Supplement, p7 

    The article discusses the risk of infection in patients undergoing LASIK refractive surgery. Ophthalmology professor Doctor James J. Salz said the risk of infection in patients having LASIK is low, with an incidence of 1 in 5,000 procedures. Salz said the LASIK device cannot be entirely...

  • Post-operative management of trabeculectomy in the first three months. Murdoch, Ian // Community Eye Health Journal;2012, Vol. 25 Issue 79/80, p73 

    The article discusses the management approach for trabeculectomy in the first three months after surgery. It cites the significance of weekly reviews and the reestablishment of flow through massaging, removing releasable sutures, dividing fixed sutures to prevent or control scarring which is the...

  • Surface ablation yields excellent outcomes with buttonholes. Guttman, Cheryl; Melki, Samir // Ophthalmology Times;8/15/2008, Vol. 33 Issue 16, p1 

    The article presents views of Samir Meiki, Doctor of Medicine, regarding the LASIK eye surgery. Meiki's comments are based on a retrospective study that identified 15 eyes at the buttonhole stage out of a series of 2,629 LASIK cases. He wants LASIK to be aborted and proposes a simple treatment...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics