Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus
AIM: To compare the visual outcomes of children with small (≤3 mm) posterior polar cataracts (PPC) and posterior lenticonus who had cataract extraction surgery with the visual outcomes of those who were managed conservatively. METHODS: Children who initially had small PPC and posterior lenticonus wh...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2021-01-01
|
| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/en_publish/2021/1/20210109.pdf |
| _version_ | 1819278989552779264 |
|---|---|
| author | Hui Chen Wan Chen Xiang-Hua Wu Zhuo-Ling Lin Jing-Jing Chen Xiao-Yan Li Wei-Rong Chen Hao-Tian Lin |
| author_facet | Hui Chen Wan Chen Xiang-Hua Wu Zhuo-Ling Lin Jing-Jing Chen Xiao-Yan Li Wei-Rong Chen Hao-Tian Lin |
| author_sort | Hui Chen |
| collection | DOAJ |
| description | AIM: To compare the visual outcomes of children with small (≤3 mm) posterior polar cataracts (PPC) and posterior lenticonus who had cataract extraction surgery with the visual outcomes of those who were managed conservatively. METHODS: Children who initially had small PPC and posterior lenticonus who were followed up over 1-year period were retrospective reviewed in the study. Patients receiving surgery were compared with those receiving conservative therapy. The axial length, keratometry, refraction, best-corrected visual acuity (BCVA), and strabismus measurements were recorded. Lens morphology, i.e., the location, size, and depth of the cataract lesion, was measured with a Scheimpflug imaging system. To help control for baseline differences in the groups, patients were matched with controls by propensity score methodology. RESULTS: The study evaluated 60 patients (30 in the surgery group and 30 in the conservative therapy group) after matching by propensity score. Patients who underwent cataract surgery showed greater BCVA improvements (0.36±0.24 logMAR) than patients who were treated without surgery (0.22±0.26 logMAR; P=0.036). Surgery was effective in patients with a rear projection length (RPL) less than 1.0 mm and a pretreatment BCVA worse than 0.52 logMAR. CONCLUSION: Children with small PPC and posterior lenticonus who undergo cataract surgery experience greater BCVA improvements than those managed conservatively. Certain patients presenting with a RPL less than 1.0 mm and a pretreatment BCVA of 0.52 logMAR or worse may benefit from surgery. |
| first_indexed | 2024-12-24T00:20:46Z |
| format | Article |
| id | doaj.art-3a6a796f2d864d809c400b2059471272 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-24T00:20:46Z |
| publishDate | 2021-01-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-3a6a796f2d864d809c400b20594712722022-12-21T17:24:36ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982021-01-01141647110.18240/ijo.2021.01.0920210109Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonusHui Chen0Wan Chen1Xiang-Hua Wu2Zhuo-Ling Lin3Jing-Jing Chen4Xiao-Yan Li5Wei-Rong Chen6Hao-Tian Lin7Hao-Tian Lin and Wei-Rong Chen. Zhongshan Ophthalmic Center, Xianlie South Rd #54, Guangzhou 510060, Guangdong Province, China. gddlht@aliyun.comState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, China; Center for Precision Medicine, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, ChinaAIM: To compare the visual outcomes of children with small (≤3 mm) posterior polar cataracts (PPC) and posterior lenticonus who had cataract extraction surgery with the visual outcomes of those who were managed conservatively. METHODS: Children who initially had small PPC and posterior lenticonus who were followed up over 1-year period were retrospective reviewed in the study. Patients receiving surgery were compared with those receiving conservative therapy. The axial length, keratometry, refraction, best-corrected visual acuity (BCVA), and strabismus measurements were recorded. Lens morphology, i.e., the location, size, and depth of the cataract lesion, was measured with a Scheimpflug imaging system. To help control for baseline differences in the groups, patients were matched with controls by propensity score methodology. RESULTS: The study evaluated 60 patients (30 in the surgery group and 30 in the conservative therapy group) after matching by propensity score. Patients who underwent cataract surgery showed greater BCVA improvements (0.36±0.24 logMAR) than patients who were treated without surgery (0.22±0.26 logMAR; P=0.036). Surgery was effective in patients with a rear projection length (RPL) less than 1.0 mm and a pretreatment BCVA worse than 0.52 logMAR. CONCLUSION: Children with small PPC and posterior lenticonus who undergo cataract surgery experience greater BCVA improvements than those managed conservatively. Certain patients presenting with a RPL less than 1.0 mm and a pretreatment BCVA of 0.52 logMAR or worse may benefit from surgery.http://ies.ijo.cn/en_publish/2021/1/20210109.pdfposterior polar cataractsposterior lenticonusvisual outcomespentacam |
| spellingShingle | Hui Chen Wan Chen Xiang-Hua Wu Zhuo-Ling Lin Jing-Jing Chen Xiao-Yan Li Wei-Rong Chen Hao-Tian Lin Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus International Journal of Ophthalmology posterior polar cataracts posterior lenticonus visual outcomes pentacam |
| title | Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus |
| title_full | Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus |
| title_fullStr | Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus |
| title_full_unstemmed | Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus |
| title_short | Visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus |
| title_sort | visual outcomes of surgical and conservative treatment in children with small posterior polar cataracts and posterior lenticonus |
| topic | posterior polar cataracts posterior lenticonus visual outcomes pentacam |
| url | http://ies.ijo.cn/en_publish/2021/1/20210109.pdf |
| work_keys_str_mv | AT huichen visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT wanchen visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT xianghuawu visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT zhuolinglin visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT jingjingchen visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT xiaoyanli visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT weirongchen visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus AT haotianlin visualoutcomesofsurgicalandconservativetreatmentinchildrenwithsmallposteriorpolarcataractsandposteriorlenticonus |