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TitelEvaluating eye growth after pediatric cataract surgery
Abstract Nr.1061
DoelThe aim of this study is to find out wether pediatric cataract surgery with intraocular lens implantation influences normal eye growth (based on axial length (AL) measurements).
MethodesCases of pediatric cataract surgery performed at the Antwerp University Hospital were reviewed. Age at time of surgery, medical and ophthalmological history and postoperative evolution were recorded. Only those cases with multiple AL measurements during follow-up were included. Evolution in AL was compared with the contralateral eye in unilateral cases and with normative data found in literature in all cases.
Resultaten44 children (23 boys and 21 girls) were included in this study. Mean age at time of surgery was 3 years and 3 months. Unilateral surgery was performed in 19 children. 25 children underwent bilateral lens implantation. Cases included mainly congenital cataracts, traumas and lens luxations. The AL measurements were plotted out in time in regards to the normative data. Subanalysis was performed depending on the age at time of surgery. For unilateral cataracts a scatter graph was performed plotting out the AL differences with the contralateral eye throughout time.
ConclusiePseudophakic pediatric eyes generally appear to follow the same evolution in AL as healthy eyes. In bilateral cases the interocular AL difference is smaller than in unilateral cases independent of the age at time of surgery. If unilateral surgery is performed at an older age, AL and AL growth appear comparable to the contralateral healthy eye. If unilateral cataract surgery is performed at a younger age results are more variable. An abnormal increase in AL was seen in a case with galucoma and in cases with connective tissue disease.
Auteur 1
NaamVAN LOOVEREN
InitialenJ
InstituutUZA
StadEdegem
Auteur 2
NaamVandeweyer
InitialenE
InstituutUZA
StadEdegem
Auteur 3
NaamDe Veuster
InitialenI
InstituutUZA
StadEdegem
Auteur 4
NaamTassignon
InitialenMJ
InstituutUZA
StadEdegem
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