June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Demographic Trends in Pediatric Cataract Surgery at a Tertiary Referral Center
Author Affiliations & Notes
  • Monica Bratton
    Department of Ophthalmology, University of Texas Southwestern, Dallas, TX
  • Aimee Lam
    University of Texas Southwestern Medical School, Dallas, TX
  • David Weakley
    Department of Ophthalmology, University of Texas Southwestern, Dallas, TX
  • Serena Wang
    Department of Ophthalmology, University of Texas Southwestern, Dallas, TX
  • Footnotes
    Commercial Relationships Monica Bratton, None; Aimee Lam, None; David Weakley, None; Serena Wang, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 5679. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      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.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract
 
Purpose
 

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.

 
Methods
 

A retrospective chart review of all patients undergoing primary cataract extraction from 2000 to 2012.

 
Results
 

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.

 
Conclusions
 

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.

 
Keywords: 445 cataract  
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×