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Carlos Chen, Guadalupe Márquez, Humberto Matiz, Federico Graue, Norma Lara, Marco Ramírez; Radiation induced cataract surgery in patients treated for retinoblastoma. Invest. Ophthalmol. Vis. Sci. 2013;54(15):3981.
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© ARVO (1962-2015); The Authors (2016-present)
To report the visual outcome and complications after phacoemulsification and intraocular lens implantation in radiation induced cataract.
Five eyes of five patients we retrospectively analyzed, 3 boys and 2 girls, the mean age was 6.2 years (4-8), all patients were treated for bilateral retinoblastoma, all received chemotherapy and 4 patients were enucleated 1 eye. Five eyes received radiation therapy 4 with external beam and 1 brachytherapy.
The mean time to cataract development was 1 year. The follow up was 2.10 years (0.44-4.17). The best corrected visual acuity(BCVA) pretreatment was 1.87 log mar (0.47-3) and the post-treatment BCVA was 0.54 log mar (0.30-1). The mean spheric equivalent was -1.60dp (+1.25-7.50). To the last visit all eyes were complety free of tumor activity.
We can concluded that phacoemulsification and intraocular lens implantation is safe and improves the visual acuity and the clinical examination of the tumor.
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