April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Cataracts in Adult Patients with Retinopathy of Prematurity (ROP)
Author Affiliations & Notes
  • William S. Tasman
    Ophthalmology, Wills Eye Institute, Philadelphia, Pennsylvania
  • Footnotes
    Commercial Relationships  William S. Tasman, None
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    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 3139. doi:
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      William S. Tasman; Cataracts in Adult Patients with Retinopathy of Prematurity (ROP). Invest. Ophthalmol. Vis. Sci. 2011;52(14):3139.

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

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Abstract

Purpose: : To provide follow up on adult ROP patients who have undergone cataract surgery.

Methods: : After IRB approval a retrospective chart review of 137 ROP over the age of 21 years seen from 2007 through 2009 was conducted to identify those patients who had had cataracts removed. Long term follow up and associated conditions were of particular interest.

Results: : Twelve of 137 patients representing 22 eyes (9%). Two patients had one eye enucleated in childhood. Six patients were female and six were male. Ages ranged from 22 to 61 years with an average of 50 and a median of 55. Follow up ranged from 2 to 61 years with an average of 20 years. Four patients had bilateral surgery. Five eyes required YAG laser capsulotomy. In one instance the capsule became cloudy five weeks after surgery, and in a second phimosis of the anterior capsule occurred six weeks after surgery. Seven cataracts were nuclear, eight were posterior subcapsular, and one was a combination. Associated findings were previous retinal detachment repair in four eyes, open angle glaucoma in one eye, neovascular glaucoma in one eye, and exudative retinal detachment in three eyes.

Conclusions: : Cataracts are not infrequent in adults with ROP, and they often occur earlier than in non ROP patients. Similarly capsules may change within weeks of surgery. Visual outcomes are often determined by retinal findings.

Keywords: retinopathy of prematurity • cataract • retinal detachment 
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