Retinal detachment may occur early after pediatric cataract surgery
Click Here to Manage Email Alerts
Retinal detachment may occur more frequently and earlier in pediatric patients after cataract surgery than previously reported, according to a study at the virtual American Association for Pediatric Ophthalmology and Strabismus meeting.
Retinal detachment (RD) in children immediately after surgery has not been well examined.
Angeline M. Nguyen, MD, of Children’s Hospital Los Angeles and University of Southern California, and colleagues undertook a retrospective review of nearly 58 million charts in the Optum data set, identifying 731 patients younger than 13 years of age who had cataract surgery between 2003 and 2017.
Mean age of the patients at the time of cataract surgery was 5 years. Primary IOL implantation occurred in 70.3% of eyes.
RD occurred in 1.2% of patients within 90 days of surgery, with a median time to diagnosis of 28 days.
After applying multivariate regression, the researchers found that persistent fetal vasculature was associated with a 10 times greater likelihood of developing RD.
“Our study informs about the risk of pediatric cataract surgery and emphasized the need for dilated fundus examinations early in the postoperative period,” Nguyen said.
Collapse
Nguyen AM, et al. Incidence of early retinal detachment after pediatric cataract surgery using Optum dataset. Presented at: American Association for Pediatric Ophthalmology and Strabismus annual meeting; April 9-11, 2021 (virtual meeting).
Read more about
Click Here to Manage Email Alerts