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Daniel Choi, Guillermo Amescua; Radiation induced cataract surgical outcomes. Invest. Ophthalmol. Vis. Sci. 2018;59(9):4773.
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To describe the outcomes and complications of phacoemuslification and intraocular lens surgery in patients who have a history of radiation therapy for ocular tumors.
Retrospective case series
16 eyes of 14 patients were identified to have 3 month post-operative outcomes. 7/14 patients were female and 7/14 were male. The average age was 62 at time of surgery. The average logMAR visual acuity was 0.88. At three months, 3 patients worsened, 3 patients stayed the same, and 10 patients improved in terms of logMAR. The average logMAR visual acuity at 3 months was 0.66. By this time 3 eyes had received anti-VEGF or steroid injections. The most common ocular co-morbidity was radiation retinopathy with posterior capsular opacification and exacerbation of dry eye disease being the most common post operative complications respectively. No intraoperative complications were noted. One patient had local disease recurrence of their ocular melanoma.
Cataract surgery in patients with a history of radiation treatment for ocular tumors can provide visual acuity gains however rates of posterior capsular opacification and macular edema are much higher than standard patients. Further follow up is needed to know the long term impact of cataract surgery on these patients.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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