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Interocular axial length differences affect eyes after pediatric cataract surgery

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SAN DIEGO, Calif. — Interocular differences in the axial length of pediatric eyes undergoing cataract surgery can affect postoperative changes in those eyes, a study presented here suggests.

Rupal H. Trivedi, MS, advised surgeons to consider interocular axial length differences in planning IOL power in pediatric cataract surgery. Speaking here at the American Society of Cataract and Refractive Surgery meeting, she said the growth of these eyes after surgery seems to be related to differences in axial length between eyes.

She described a study of pediatric patients undergoing cataract surgery which found that in patients with more than 0.5 mm difference in axial length between eyes, shorter eyes tend to have greater growth, normal eyes tend to grow normally and longer eyes have less growth.

Dr. Trivedi and colleagues reviewed the charts of 58 pediatric eyes with an average age of 3.2 years. Mean follow-up was 3.3 years.