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Dynamic profile of ocular refraction in pediatric cataract patients after lens surgeries
Zhen-Zhen Liu1, Er-Ping Long1, Duo-Ru Lin1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510000, Guangdong Province, China.
Insights
Pediatric cataract surgery leads to varied ocular refraction changes. Monitoring rapid myopic shifts in early adolescence is crucial for these patients.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Refractive Error
Background:
- Pediatric cataracts (PCs) require surgical intervention, often lens extraction.
- Understanding post-surgical refractive changes is vital for visual development in children.
Purpose of the Study:
- To investigate ocular refraction changes following lens extraction in pediatric cataract patients.
- To identify factors influencing refractive outcomes and myopic shift.
Main Methods:
- 1258 pediatric patients undergoing cataract surgery were analyzed.
- Ocular refraction (spherical equivalent) and yearly myopic shift were tracked postoperatively.
- Statistical analysis considered age at surgery, baseline refraction, and follow-up duration.
Main Results:
- Ocular refraction changes varied significantly among patients post-surgery.
- Baseline refraction and postoperative time were critical factors influencing refractive outcomes.
- Yearly myopic shift accelerated during early childhood and adolescence.
Conclusions:
- Pediatric cataract surgery results in individualized ocular refraction changes.
- Close monitoring for rapid myopic progression, especially during early adolescence, is recommended.
Aim:
To study the change in ocular refraction in patients with pediatric cataracts (PCs) after lens extraction.
Methods:
A total of 1258 patients who were undergoing cataract extraction with/without intraocular lens (IOL) implantation were recruited during preoperative examinations between Jan 2010 and Oct 2013. Patient ages ranged from 1.5mo to 14y. Follow-ups were conducted at 1wk, 1, and 3mo postoperatively and every 3mo in the first year, then 6mo thereafter. Ocular refraction [evaluated as spherical equivalent (SE)] and yearly myopic shift (YMS) were recorded and statistically analyzed among patients with age at surgery, baseline ocular refraction, gender, postoperative time and laterality (bilateral vs unilateral).
Results:
By Dec 31st 2015, 1172 participants had been followed for more than 2y. The median follow-up period was 3y. The critical factors affecting the ocular refraction of PC patients were baseline ocular refraction, postoperative time for both aphakic and pseudophakic eyes. YMS grew most rapidly in young childhood and early adolescence.
Conclusion:
After lens surgeries, ocular refraction in PC patients shows an individual difference of change. Further concerns should be raising to monitor the rapid myopic shift at early adolescence of these patients.
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