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Monica Bratton, Aimee Lam, David Weakley, Serena Wang; Demographic Trends in Pediatric Cataract Surgery at a Tertiary Referral Center. Invest. Ophthalmol. Vis. Sci. 2013;54(15):5679.
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Pediatric Cataract case series from 2000-2012 were evaluated at Children’s Medical Center in Dallas, Texas in order to evaluate patient demographics, etiology, and trends in management.
A retrospective chart review of all patients undergoing primary cataract extraction from 2000 to 2012.
Six hundred and twenty three eyes of 457 patients were included. Two hundred and sixty seven (58%) were male and 190 (42%) female. Racially 41% were Hispanic, 33% Caucasian, 21% Black, 3% Asian, and 2% other. Cataracts were classified by etiology with the most common being congenital followed by traumatic and idiopathic. Two hundred sixty eyes (42%) were left aphakic and 363 (58%) eyes had a primary intraocular lens. Overall the mean age at surgery was 5.3 years, (2.5 years for aphakic eyes and 7.3 years for eyes with primary IOL implantation). For patients under one year of age only 6%(10/178) has a primary lens implantation (all unilateral) vs. 61% (25/41) in patients 1 to 2 years of age and 81% (328/404) in patients older than 2 years of age. Eighty-three (32%) of the aphakic eyes (mean age of initial surgery 1.7 years) later underwent a secondary IOL placement at a mean age of 4.5 years.
Younger patients were more likely to be left aphakic, particularly if under one year of age though about 1/3 underwent secondary IOL implantation. In spite of significant advances in pediatric cataract surgery, IOL implantation under one year of age is still uncommon at our institution.
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