The prevalence of visual axis opacification in the Swedish Pediatric Cataract Register
(2024) In Acta Ophthalmologica- Abstract
Purpose: To report on the occurrence of postoperative visual axis opacification (VAO) in children younger than 5 years of age operated for cataract in Sweden, and to analyse correlations with age at surgery and surgical method. Methods: Data were derived from the Swedish Pediatric Cataract Register (PECARE). All children operated on between 1 January 2007 and 31 December 2020 were included. Follow-ups at 1, 2 and 5 years of age were analysed. Results: Cataract surgery were performed on 770 eyes belonging to 549 children (n = 282 boys, 51.4%); 327/770 (42.5%) of the children underwent surgery before 3 months of age and 216/770 (28%) before 6 weeks of age. Data on 881 follow-up visits were registered. At the follow up-visits at 1, 2 and 5... (More)
Purpose: To report on the occurrence of postoperative visual axis opacification (VAO) in children younger than 5 years of age operated for cataract in Sweden, and to analyse correlations with age at surgery and surgical method. Methods: Data were derived from the Swedish Pediatric Cataract Register (PECARE). All children operated on between 1 January 2007 and 31 December 2020 were included. Follow-ups at 1, 2 and 5 years of age were analysed. Results: Cataract surgery were performed on 770 eyes belonging to 549 children (n = 282 boys, 51.4%); 327/770 (42.5%) of the children underwent surgery before 3 months of age and 216/770 (28%) before 6 weeks of age. Data on 881 follow-up visits were registered. At the follow up-visits at 1, 2 and 5 years of age, VAO was present in 154/349 (44.1%), 41/323 (12.7%) and 25/208 (12%). The majority of the children with VAO underwent cataract surgery before age 6 months, with a predominance before age 2 months. Primary IOL was implanted in 601/770 (78%) of eyes; 40.8% had an acrylic one-piece lens, 31.8% had a bag-in-the-lens IOL, 21.9% were aphakic and 5.2% had an acrylic three-piece lens. Implantation of a bag-in-the-lens IOL was related to a significantly lower occurrence of VAO compared to other types of IOL, including aphakia (p < 0.0002). Conclusion: Our results are in accordance with the literature. Primary bag-in-the-lens IOL implantation before 2 years of age seems adequate and safe, with a low occurrence of VAO, and can thus be continued as routine in Sweden.
(Less)
- author
- Magnusson, Gunilla ; Gyllén, Jenny ; Haargaard, Birgitte ; Nyström, Alf LU ; Rosensvärd, Annika ; Scurei, Carmen ; Kjellström, Ulrika LU and Tornqvist, Kristina LU
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- congenital, lens surgery, paediatric cataract, postoperative complication, visual axis opacification
- in
- Acta Ophthalmologica
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:38251769
- scopus:85182862040
- ISSN
- 1755-375X
- DOI
- 10.1111/aos.16630
- language
- English
- LU publication?
- yes
- id
- 22fbbb3c-ee0f-44ac-9be0-8f6efbe2ccef
- date added to LUP
- 2024-02-20 10:58:40
- date last changed
- 2024-04-20 10:11:05
@article{22fbbb3c-ee0f-44ac-9be0-8f6efbe2ccef, abstract = {{<p>Purpose: To report on the occurrence of postoperative visual axis opacification (VAO) in children younger than 5 years of age operated for cataract in Sweden, and to analyse correlations with age at surgery and surgical method. Methods: Data were derived from the Swedish Pediatric Cataract Register (PECARE). All children operated on between 1 January 2007 and 31 December 2020 were included. Follow-ups at 1, 2 and 5 years of age were analysed. Results: Cataract surgery were performed on 770 eyes belonging to 549 children (n = 282 boys, 51.4%); 327/770 (42.5%) of the children underwent surgery before 3 months of age and 216/770 (28%) before 6 weeks of age. Data on 881 follow-up visits were registered. At the follow up-visits at 1, 2 and 5 years of age, VAO was present in 154/349 (44.1%), 41/323 (12.7%) and 25/208 (12%). The majority of the children with VAO underwent cataract surgery before age 6 months, with a predominance before age 2 months. Primary IOL was implanted in 601/770 (78%) of eyes; 40.8% had an acrylic one-piece lens, 31.8% had a bag-in-the-lens IOL, 21.9% were aphakic and 5.2% had an acrylic three-piece lens. Implantation of a bag-in-the-lens IOL was related to a significantly lower occurrence of VAO compared to other types of IOL, including aphakia (p < 0.0002). Conclusion: Our results are in accordance with the literature. Primary bag-in-the-lens IOL implantation before 2 years of age seems adequate and safe, with a low occurrence of VAO, and can thus be continued as routine in Sweden.</p>}}, author = {{Magnusson, Gunilla and Gyllén, Jenny and Haargaard, Birgitte and Nyström, Alf and Rosensvärd, Annika and Scurei, Carmen and Kjellström, Ulrika and Tornqvist, Kristina}}, issn = {{1755-375X}}, keywords = {{congenital; lens surgery; paediatric cataract; postoperative complication; visual axis opacification}}, language = {{eng}}, publisher = {{Wiley-Blackwell}}, series = {{Acta Ophthalmologica}}, title = {{The prevalence of visual axis opacification in the Swedish Pediatric Cataract Register}}, url = {{http://dx.doi.org/10.1111/aos.16630}}, doi = {{10.1111/aos.16630}}, year = {{2024}}, }