Abstract
Purpose:
To report the visual outcome and complications after phacoemulsification and intraocular lens implantation in radiation induced cataract.
Methods:
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.
Results:
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.
Conclusions:
We can concluded that phacoemulsification and intraocular lens implantation is safe and improves the visual acuity and the clinical examination of the tumor.
Keywords: 703 retinoblastoma •
445 cataract