Cataract surgery in children with retinopathy of prematurity (ROP): surgical and visual outcomes
Session Details
Session Title: Cataract Surgery Special Cases
Session Date/Time: Monday 12/09/2016 | 08:00-10:30
Paper Time: 08:30
Venue: Auditorium C6
First Author: : P.Patil Chhablani INDIA
Co Author(s): : C. Ezisi R. Kekunnaya S. Jalali D. Balakrishnan P. Kumari
Abstract Details
Purpose:
Cataract development has been reported in association with ROP with and without treatment.
The study aims to report outcomes of cataract surgery in children with ROP.
Setting:
A tertiary care ophthalmic institute in South India
Methods:
A retrospective chart review revealed 22 children who underwent cataract surgery of 2258 diagnosed with ROP, from January 2001 to December 2014, (incidence 0.97%). Comprehensive data analysis was done. Intraoperative and post operative complications were noted and outcomes were compared between those who did and did not undergo vitreoretinal surgery for ROP. Outcomes of IOL implantation were also studied.
Results:
28 eyes (22 children) were included. Mean age at cataract surgery was 15.76 months. Most common grade of ROP was stage 4 (11). ROP treatment included retinal surgery (19), scleral buckle (1), laser (3). 5 eyes showed spontaneous regression. Mean duration for development of cataract post-retinal surgery was 7.76 months. 9 eyes did not receive a primary intraocular lens (IOL). Intraoperative posterior capsular rupture was noted in 2 eyes. Postoperative complications included visual axis opacification (4), secondary glaucoma (2) and IOL capture (1). Postoperative visual acuity assessment was possible in 23 eyes, 11 had better than 20/200 vision.
Conclusions:
Cataract may develop in children with ROP, regardless of the initial modality of treatment. Prompt treatment can result in a reasonable good outcome. The profile of surgical complications is similar to that in children without ROP and primary IOL implantation can be considered where appropriate.
Financial Disclosure:
NONE
