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Refractive change at 5 years in the Toddler Aphakia and Pseudophakia Study (TAPS).
Ophthalmology
December 2024
Department of Ophthalmology, Mayo Clinic, Rochester, MN; Department of Ophthalmology and Visual Neurosciences, Minneapolis, University of Minnesota, MN;. Electronic address:
Article Synopsis
- The study focuses on refractive changes observed in children aged 5 years who underwent cataract surgery with intraocular lens placement before age 2.
- It analyzed data from 96 children, comparing results between unilateral and bilateral cataract cases, as well as those operated on at different ages (1 to <7 months vs. 7-24 months).
- The findings indicated that children operated on between 1 to <7 months experienced significantly more refractive change compared to those operated on later, suggesting careful consideration is needed when selecting lens power and target refraction for younger patients.
Myopic shift after primary intraocular lens implantation in unilateral cataract children and its association with preoperative ocular parameters.
J Cataract Refract Surg
January 2025
From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China.
Purpose: To assess the myopic shift in children with unilateral cataract undergoing primary intraocular lens (IOL) implantation and its association with preoperative ocular parameters.
Setting: Single center.
Design: Retrospective study.
Ocular dominance shift in refractive cataract surgery: prospective, observational study.
J Cataract Refract Surg
November 2024
From the Aier Eye Hospital, Jinan University, Yuexiu District, Guangzhou, China (Song, Tang, Duan); Changsha Aier Eye Hospital, Aier Eye Hospital Group, Changsha, China (Song, Nie, Zhao, Liao, He, Tang, Duan); Aier Glaucoma Institute, Hunan Engineering Research Center for Glaucoma with Artificial Intelligence in Diagnosis and Application of New Materials, Changsha Aier Eye Hospital, Changsha, Hunan, China (Nie, Zhao, Duan).
Purpose: To explore the features of the dominant and nondominant eyes in patients with cataracts and predict ocular dominance shift (ODS) based on preoperative indicators.
Setting: Changsha Aier Eye Hospital, Changsha, Hunan, China.
Design: Prospective, observational study.
Comparison of the axial growth with multifocal and monofocal intraocular lenses in unilateral pediatric cataract surgery.
Graefes Arch Clin Exp Ophthalmol
December 2024
Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, 5 Yanerdao Road, Qingdao, 266071, China.
Purpose: To compare axial growth in pediatric cataract patients who underwent multifocal intraocular lens (IOL) implantation without anterior vitrectomy (AV) with that in pediatric patients who underwent monofocal IOL implantation with or without AV.
Methods: Patients who had unilateral pediatric cataracts and underwent surgery at 3-6 years of age from June 6, 2019, to June 30, 2020, at our institution were prospectively analyzed. The patients were categorized into Group A: multifocal IOL implantation with optic capture in Berger's space without AV; Group B: monofocal IOL implantation with optic capture in Berger's space without AV; and Group C: bag-in-the-lens monofocal IOL implantation with AV.
Ten-year outcomes of congenital cataract surgery performed within the first six months of life.
J Cataract Refract Surg
July 2024
From the Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan (Oshika); Division of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan (Nishina); Osaka City General Hospital, Osaka, Japan (Unoki); Aichi Children's Health and Medical Center, Aichi, Japan (Miyagi); Hyogo Prefectural Kobe Children's Hospital, Hyogo, Japan (Nomura); Department of Ophthalmology, Fukushima Medical University, Fukushima, Japan (Mori); Department of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan (Matsuki); Osaka Women's and Children's Hospital, Osaka, Japan (Endo); Department of Ophthalmology, Iwate Medical University School of Medicine, Iwate, Japan (Kurosaka); Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan (Negishi); Department of Ophthalmology, Kurume University School of Medicine, Fukuoka, Japan (Yoshida); Nagamoto Eye Clinic, Tokyo, Japan.
Article Synopsis
- The study examines the long-term results of congenital cataract surgeries conducted within the first 6 months of life across 11 surgical sites in Japan.
- It found that surgeries performed during critical periods of visual development lead to better final visual acuity compared to those done later, though earlier surgeries had a higher frequency of visual axis opacification.
- Factors influencing visual outcomes included laterality of cataract, type of surgery (pseudophakia vs. aphakia), and any existing comorbidities, highlighting the potential benefits of using intraocular lenses (IOL) in these procedures.
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