Ocular biometric changes following unilateral cataract surgery in children.

<h4>Purpose</h4>To analyze ocular biometric changes following unilateral cataract surgery in children.<h4>Methods</h4>A total of 57 children aged under 13 years who underwent unilateral cataract surgery were analyzed. Groups were classified according to their age at surgery:...

Full description

Bibliographic Details
Main Authors: Yooyeon Park, Hae Ri Yum, Sun Young Shin, Shin Hae Park
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0272369
_version_ 1798032354916171776
author Yooyeon Park
Hae Ri Yum
Sun Young Shin
Shin Hae Park
author_facet Yooyeon Park
Hae Ri Yum
Sun Young Shin
Shin Hae Park
author_sort Yooyeon Park
collection DOAJ
description <h4>Purpose</h4>To analyze ocular biometric changes following unilateral cataract surgery in children.<h4>Methods</h4>A total of 57 children aged under 13 years who underwent unilateral cataract surgery were analyzed. Groups were classified according to their age at surgery: group I (age <3), II (3≤ age <6), III (6≤ age <9), and IV (age ≥9). The myopic shift, axial growth, and corneal curvature changes were compared between the pseudophakic eyes and the fellow phakic eyes.<h4>Results</h4>During 7.81 ± 4.39 years, the overall myopic shift (D) and the rate of myopic shift (D/year) were significantly higher at -3.25 ± 3.21 D and -0.45 ± 0.44 D/year in the pseudophakic eyes than -1.78 ± 2.10 D and -0.22 ± 0.29 D/year in the fellow phakic eyes (P = 0.01, 0.004). Group I (-1.14 ± 0.66 vs -0.02 ± 0.45 D/year) and group II (-0.63 ± 0.37 vs -0.31 ± 0.29 D/year) showed significantly higher rate of myopic shift in the pseudophakic eyes than in the phakic eyes. The rate of myopic shift in the pseudophakic eyes decreased in the older age groups (P = 0.001). There was no significant between-eye difference in the changes in axial length and keratometric values postoperatively.<h4>Conclusion</h4>Following unilateral cataract surgery, a significant postoperative myopic shift was noticed in the pseudophakic eyes compared to the fellow phakic eyes in groups under 6 years old. Postoperative myopic shift and the resultant anisometropia should be considered when selecting the optimal power of IOL in young children requiring unilateral cataract surgery.
first_indexed 2024-04-11T20:12:32Z
format Article
id doaj.art-64f268fae1e84b978c65356b3a685790
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-11T20:12:32Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-64f268fae1e84b978c65356b3a6857902022-12-22T04:05:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027236910.1371/journal.pone.0272369Ocular biometric changes following unilateral cataract surgery in children.Yooyeon ParkHae Ri YumSun Young ShinShin Hae Park<h4>Purpose</h4>To analyze ocular biometric changes following unilateral cataract surgery in children.<h4>Methods</h4>A total of 57 children aged under 13 years who underwent unilateral cataract surgery were analyzed. Groups were classified according to their age at surgery: group I (age <3), II (3≤ age <6), III (6≤ age <9), and IV (age ≥9). The myopic shift, axial growth, and corneal curvature changes were compared between the pseudophakic eyes and the fellow phakic eyes.<h4>Results</h4>During 7.81 ± 4.39 years, the overall myopic shift (D) and the rate of myopic shift (D/year) were significantly higher at -3.25 ± 3.21 D and -0.45 ± 0.44 D/year in the pseudophakic eyes than -1.78 ± 2.10 D and -0.22 ± 0.29 D/year in the fellow phakic eyes (P = 0.01, 0.004). Group I (-1.14 ± 0.66 vs -0.02 ± 0.45 D/year) and group II (-0.63 ± 0.37 vs -0.31 ± 0.29 D/year) showed significantly higher rate of myopic shift in the pseudophakic eyes than in the phakic eyes. The rate of myopic shift in the pseudophakic eyes decreased in the older age groups (P = 0.001). There was no significant between-eye difference in the changes in axial length and keratometric values postoperatively.<h4>Conclusion</h4>Following unilateral cataract surgery, a significant postoperative myopic shift was noticed in the pseudophakic eyes compared to the fellow phakic eyes in groups under 6 years old. Postoperative myopic shift and the resultant anisometropia should be considered when selecting the optimal power of IOL in young children requiring unilateral cataract surgery.https://doi.org/10.1371/journal.pone.0272369
spellingShingle Yooyeon Park
Hae Ri Yum
Sun Young Shin
Shin Hae Park
Ocular biometric changes following unilateral cataract surgery in children.
PLoS ONE
title Ocular biometric changes following unilateral cataract surgery in children.
title_full Ocular biometric changes following unilateral cataract surgery in children.
title_fullStr Ocular biometric changes following unilateral cataract surgery in children.
title_full_unstemmed Ocular biometric changes following unilateral cataract surgery in children.
title_short Ocular biometric changes following unilateral cataract surgery in children.
title_sort ocular biometric changes following unilateral cataract surgery in children
url https://doi.org/10.1371/journal.pone.0272369
work_keys_str_mv AT yooyeonpark ocularbiometricchangesfollowingunilateralcataractsurgeryinchildren
AT haeriyum ocularbiometricchangesfollowingunilateralcataractsurgeryinchildren
AT sunyoungshin ocularbiometricchangesfollowingunilateralcataractsurgeryinchildren
AT shinhaepark ocularbiometricchangesfollowingunilateralcataractsurgeryinchildren