Risk of visual axis opacification in infants with and without
primary IOL implantation after congenital cataract surgery
performed during the first 4 months of age

J 2023

Risk of visual axis opacification in infants with and without primary IOL implantation after congenital cataract surgery performed during the first 4 months of age

HLOŽÁNEK, Martin, Lenka CILEČKOVÁ, Jorge L. ALIÓ, Rudolf AUTRATA, Nina ZELENAYOVÁ et. al.

Základní údaje

Originální název

Risk of visual axis opacification in infants with and without primary IOL implantation after congenital cataract surgery performed during the first 4 months of age

Autoři

HLOŽÁNEK, Martin (203 Česká republika, garant), Lenka CILEČKOVÁ (203 Česká republika), Jorge L. ALIÓ (724 Španělsko), Rudolf AUTRATA (203 Česká republika, domácí), Nina ZELENAYOVÁ (203 Česká republika), Martin KOMÍNEK (203 Česká republika, domácí), Jiří CENDELÍN (203 Česká republika) a Gabriela MAHELKOVÁ (203 Česká republika)

Vydání

Graefe's Archive for Clinical and Experimental Ophthalmology, NEW YORK, SPRINGER, 2023, 0721-832X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30207 Ophthalmology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.700 v roce 2022

Kód RIV

RIV/00216224:14110/23:00133202

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1007/s00417-023-06143-9

UT WoS

001012581600001

Klíčová slova anglicky

Congenital cataract; Infants; Pupillary membrane; Posterior visual axis opacification; Intraocular lens; Aphakia

Štítky

14110315, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 5. 4. 2024 09:18, Mgr. Tereza Miškechová

Anotace

V originále

Purpose The study evaluates the rate of postoperative formation of a pupillary membrane (PM) and posterior visual axis opacification (PVAO) in infants with and without primary IOL implantation during the first 4 months of infancy. Methods Medical records for 144 eyes (101 infants) operated between 2005 and 2014 were evaluated. A posterior capsulectomy and anterior vitrectomy were performed. Primary IOL implantation was performed in 68 eyes, while 76 eyes were left aphakic. There were 16 bilateral cases in the pseudophakic group and 27 in the aphakic group. The follow-up period was 54.3 ± 21.05 months and 49.1 ± 18.60 months, respectively. Fisher’s exact test was used for statistical analysis. The twosample t-test with equal variance was used to compare surgery age, follow-up period and time intervals of complications. Results The mean age of surgery was 2.1 ± 0.85 months in the pseudophakic and 2.2 ± 1.01 months in the aphakic group. PM was diagnosed in 40% pseudophakic and 7% aphakic eyes. A second surgery for PVAO was performed in 72% pseudophakic and 16% aphakic eyes. Both were significantly higher in the pseudophakic group. In the pseudophakic group, the number of PVAO was significantly higher in infants operated before 8 weeks of age compared to surgery age 9–16 weeks. The frequency of PM was not age-dependent. Conclusion Although it remains feasible to implant an IOL during the primary surgery, even in very young infants, there should always be solid arguments for this decision since it puts the child at higher risk of repeated surgeries under general anaesthesia.

Citovat

HLOŽÁNEK, Martin, Lenka CILEČKOVÁ, Jorge L. ALIÓ, Rudolf AUTRATA, Nina ZELENAYOVÁ, Martin KOMÍNEK, Jiří CENDELÍN a Gabriela MAHELKOVÁ. Risk of visual axis opacification in infants with and without primary IOL implantation after congenital cataract surgery performed during the first 4 months of age. Graefe's Archive for Clinical and Experimental Ophthalmology. NEW YORK: SPRINGER, 2023, roč. 261, č. 12, s. 3643-3649. ISSN 0721-832X. Dostupné z: https://dx.doi.org/10.1007/s00417-023-06143-9.

@article{2365458,
   author = {Hložánek, Martin and Cilečková, Lenka and Alió, Jorge L. and Autrata, Rudolf and Zelenayová, Nina and Komínek, Martin and Cendelín, Jiří and Mahelková, Gabriela},
   article_location = {NEW YORK},
   article_number = {12},
   doi = {http://dx.doi.org/10.1007/s00417-023-06143-9},
   keywords = {Congenital cataract; Infants; Pupillary membrane; Posterior visual axis opacification; Intraocular lens; Aphakia},
   language = {eng},
   issn = {0721-832X},
   journal = {Graefe's Archive for Clinical and Experimental Ophthalmology},
   title = {Risk of visual axis opacification in infants with and without primary IOL implantation after congenital cataract surgery performed during the first 4 months of age},
   url = {https://link.springer.com/article/10.1007/s00417-023-06143-9},
   volume = {261},
   year = {2023}
}

TY  - JOUR
ID  - 2365458
AU  - Hložánek, Martin - Cilečková, Lenka - Alió, Jorge L. - Autrata, Rudolf - Zelenayová, Nina - Komínek, Martin - Cendelín, Jiří - Mahelková, Gabriela
PY  - 2023
TI  - Risk of visual axis opacification in infants with and without primary IOL implantation after congenital cataract surgery performed during the first 4 months of age
JF  - Graefe's Archive for Clinical and Experimental Ophthalmology
VL  - 261
IS  - 12
SP  - 3643-3649
EP  - 3643-3649
PB  - SPRINGER
SN  - 0721832X
KW  - Congenital cataract
KW  - Infants
KW  - Pupillary membrane
KW  - Posterior visual axis opacification
KW  - Intraocular lens
KW  - Aphakia
UR  - https://link.springer.com/article/10.1007/s00417-023-06143-9
N2  - Purpose The study evaluates the rate of postoperative formation of a pupillary membrane (PM) and posterior visual axis opacification (PVAO) in infants with and without primary IOL implantation during the first 4 months of infancy. Methods Medical records for 144 eyes (101 infants) operated between 2005 and 2014 were evaluated. A posterior capsulectomy and anterior vitrectomy were performed. Primary IOL implantation was performed in 68 eyes, while 76 eyes were left aphakic. There were 16 bilateral cases in the pseudophakic group and 27 in the aphakic group. The follow-up period was 54.3 ± 21.05 months and 49.1 ± 18.60 months, respectively. Fisher’s exact test was used for statistical analysis. The twosample t-test with equal variance was used to compare surgery age, follow-up period and time intervals of complications. Results The mean age of surgery was 2.1 ± 0.85 months in the pseudophakic and 2.2 ± 1.01 months in the aphakic group. PM was diagnosed in 40% pseudophakic and 7% aphakic eyes. A second surgery for PVAO was performed in 72% pseudophakic and 16% aphakic eyes. Both were significantly higher in the pseudophakic group. In the pseudophakic group, the number of PVAO was significantly higher in infants operated before 8 weeks of age compared to surgery age 9–16 weeks. The frequency of PM was not age-dependent. Conclusion Although it remains feasible to implant an IOL during the primary surgery, even in very young infants, there should always be solid arguments for this decision since it puts the child at higher risk of repeated surgeries under general anaesthesia.
ER  -

HLOŽÁNEK, Martin, Lenka CILEČKOVÁ, Jorge L. ALIÓ, Rudolf AUTRATA, Nina ZELENAYOVÁ, Martin KOMÍNEK, Jiří CENDELÍN a Gabriela MAHELKOVÁ. Risk of visual axis opacification in infants with and without primary IOL implantation after congenital cataract surgery performed during the first 4 months of age. \textit{Graefe's Archive for Clinical and Experimental Ophthalmology}. NEW YORK: SPRINGER, 2023, roč.~261, č.~12, s.~3643-3649. ISSN~0721-832X. Dostupné z: https://dx.doi.org/10.1007/s00417-023-06143-9.

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