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Marcia B. Tartarella, Gloria F. Britez, Marcia Motono, Martha M. Chojniak, Rubens Belfort, Jr.; Phacoemulsification and Foldable Acrylic IOL Implantation in Children with Treated Retinoblastoma. Invest. Ophthalmol. Vis. Sci. 2011;52(14):1582.
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To study the visual outcomes and ocular complications of the cataract surgery by phacoemulsification and foldable acrylic intraocular lens implantation in eyes of children with radiation-induced cataract after treatment for retinoblastoma.
A retrospective noncomparative case series included six consecutive eyes presenting secondary cataract due to radiation therapy for retinoblastoma that were submitted to phacoemulsification and foldable acrylic intraocular lens implantation. Visual acuity, refractometry, fundoscopy and biomicroscopy were assessed.
Six children between 3 to 5 years of age at the time of surgery were studied. The mean time between radiotherapy and the cataract diagnosis was 22,3 months. The mean follow-up after surgery was 17.2 months (range 12-23 months). All eyes improved vision with the cataract surgery. One eye developed a posterior capsule opacification that remained clinically stable. All eyes achieved a clear axis after the cataract surgery and allowed monitoring the tumor status. No eyes had recidivation or spreading of the tumor.
Phacoemulsification and acrylic intraocular lens implantation are a good choice for the removal of radiation-induced cataracts in patients treated for retinoblastoma.
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