Glaucoma risk increases in young children post-cataract surgery: JAMA
USA: A new study shows that glaucoma or glaucoma-like symptoms were prevalent in children 5 years following lensectomy. During the first five years after an intraocular lens (IOL) was implanted, myopia shifted only slightly, which should be considered when choosing an implant power. The findings of this study were published in the journal JAMA Ophthalmology.
A cataract is a common cause of vision loss in youngsters. Real-world estimates of visual outcomes and the 5-year cumulative incidence of adverse events can be derived from data from a large pediatric cataract surgery registry. As a result, Michael X. Repka and colleagues conducted this study to examine visual acuity (VA), the incidence of complications and further eye procedures, and refractive error outcomes in children younger than 13 years after pediatric lensectomy.
The Pediatric Eye Disease Investigator Group clinical research registry was used in this prospective cohort study. Between June 2012 and July 2015, 61 eye care practices in the United States, Canada, and the United Kingdom enrolled children aged birth to less than 13 who had undergone lensectomy for any reason within the previous 45 days. After that, data were collected from medical record reviews on an annual basis for the next 5 years, until September 28, 2020. Lensectomy with or without intraocular lens implantation was performed on the participants. From 4 to 6 years following the first lensectomy, best-corrected VA and refractive error were measured. The 5-year incidence of glaucoma or glaucoma suspect, as well as further eye procedures, was assessed using Cox proportional hazards regression.
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