May 2007
Volume 48, Issue 13
ARVO Annual Meeting Abstract  |   May 2007
Adult Retinopathy of Prematurity: Retinal Complications From Cataract Surgery
Author Affiliations & Notes
  • G. L. Fenton
    Wills Eye, Philadelphia, Pennsylvania
  • R. S. Kaiser
    Wills Eye, Philadelphia, Pennsylvania
    Retina Service,
  • W. Tasman
    Wills Eye, Philadelphia, Pennsylvania
    Retina Service,
  • M. T. Trese
    Retina Service, Associated Retinal Consultants and Beaumont Eye Institute, Royal Oak, Michigan
  • Footnotes
    Commercial Relationships G.L. Fenton, None; R.S. Kaiser, None; W. Tasman, None; M.T. Trese, None.
  • Footnotes
    Support Ronald G. Michels Foundation
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 3098. doi:
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      G. L. Fenton, R. S. Kaiser, W. Tasman, M. T. Trese; Adult Retinopathy of Prematurity: Retinal Complications From Cataract Surgery. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3098. doi:

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

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Purpose:: To describe the results and retinal complications of cataract surgery in adults with a history of premature birth (Adult ROP).

Methods:: Retrospective chart review of two cohorts of patients: Beaumont Hospital and Wills Eye. All patients underwent cataract surgery and were followed for up to 38 years (median 9.9 years).

Results:: A total of 66 eyes from 45 patients underwent cataract surgery. Thirty-seven eyes (56%) had minimal cicatricial changes from ROP. The mean age of cataract surgery was 40.3 years. Twenty-five eyes (38%) had at least a 1-line improvement in vision, 20 eyes (30%) had no change in vision, and 21 eyes (32%) had a decline in vision after cataract surgery. A post-operative complication of a retinal tear or retinal detachment developed in 15 of the 66 eyes (23%). The severity of the baseline fundus changes from ROP did not correlate with the likelihood of developing a post-cataract surgery complication.

Conclusions:: In patients with a history of premature birth, cataract surgery tends to be performed at a young age, has a mixed range of visual results, and can be associated with a high rate of retinal complications.

Keywords: retinopathy of prematurity • cataract • retinal detachment 

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