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Strabismus development after pediatric cataract surgery associated with age at surgery, intraocular lens

Celso Menezes Filho1, Andre Messias1, Rosalia Antunes-Foschini1

  • 1Ribeirão Preto Medical School, Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, University of São Paulo.

Strabismus
|July 5, 2023
PubMed

Insights

Pediatric cataract surgery can lead to strabismus. Factors like younger age at surgery, intraocular lens (IOL) implantation, and poorer visual acuity in the worse eye predict its development.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Strabismus is a common complication following pediatric cataract surgery.
  • Understanding predictive factors is crucial for managing visual development in children.

Purpose of the Study:

  • To identify factors associated with the development of strabismus after pediatric cataract surgery.
  • To analyze the relationship between age at surgery, intraocular lens (IOL) implantation, and visual outcomes with strabismus.

Main Methods:

  • A retrospective, cross-sectional study of children who had cataract surgery before age 5.
  • Ophthalmological examinations assessed visual acuity, refraction, and strabismus.
  • Logistic regression analyzed predictors including age at surgery, IOL implantation, and visual acuity.

Main Results:

  • Strabismus was present in 72% of the 46 patients studied.
  • Age at surgery (OR 0.95), IOL implantation (OR 0.08), and visual acuity in the worse eye (OR 1.16) were significantly associated with strabismus.
  • Esotropia and exotropia were the most common forms of strabismus.

Conclusions:

  • Strabismus development post-pediatric cataract surgery is linked to specific factors.
  • Younger age at surgery, IOL implantation, and visual acuity outcomes influence strabismus.
  • These findings aid in predicting and potentially mitigating strabismus risk.
Abstract

Keywords:
Amblyopiaanisometropiacataract surgerycongenital cataracteye deviation

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