Eyeworld

EW CATARACT 39 March 2019 surgery for VAO was required later in eyes with SN60WF IOLs (Alcon) than in eyes in which other AcrySof IOLs were used. 1 Regarding glaucoma develop- ment in this study group, 4 eyes of 3 patients developed glaucoma during the entire length of the follow-up period. The mean age at surgery for eyes developing glaucoma was 6.76 months. The glaucoma was well controlled with medications until the time of the last follow up, and none of the patients required any surgery. None of the eyes in this series developed retinal detachment by the time of the 10-year follow up, and there was no incidence of IOL dislocation. Retinal detachment was estimated at 5.5% within the first 10 years after cataract surgery in children with no known ocular and systemic anomalies, according to a recent retrospective consecutive interventional case series of 481 eyes of 295 children aged below 16 years who underwent lensectomy, posterior capsulorhexis, and anterior vitrectomy combined with IOL im- plantation with a median follow up of 66 months. The risk of retinal de- tachment significantly increases in male patients, myopic patients, and intellectually disabled children, the authors of the study maintained. 2 In the current study, all of the eyes showed significant visual im- provement from baseline. The visual acuity outcomes demonstrated a mean BSCVA of 0.44 ± 0.22 logMAR. The mean spherical equivalent of refraction was –0.62 ± 1.59 (range: 0 to –6.25 D), which meant a reason- ably good prediction of the IOL power. Axial length measurements showed the expected change of growing pediatric eyes. The preop- erative axial length was 21.1 ± 2.75 mm, and postoperatively it was 23.7 ± 2.62 mm. EW References 1. Trivedi RH, et al. Visual axis opacification after cataract surgery and hydrophobic acrylic intraocular lens implantation in the first year of life. J Cataract Refract Surg. 2011;37:83–7. 2. Agarkar S, et al. Incidence, risk factors, and outcomes of retinal detachment after pediatric cataract surgery. Ophthalmology. 2018;125:36–42. Editors' note: Dr. Vasavada has no financial interests related to his comments. Contact information Vasavada: contact@raghudeepeyehospital.com Chu LRI Marker mark the cornea without ink • Low profile degree gauge with rotatable head • Can be used with or without ink • Thin beveled edges produce very fine lines • Arcuate lines easy to trace 60 ˚ 45 30 ˚ ˚ Chu LRI Knife single footplate - unobstructed view • Titanium handle • Gem quality 1mm wide diamond blade • Single, highly polished footplate • 6 facet, double bevel edges for bi-directional cutting • Dual depth settings, 0.6mm for LRI and 2.5mm for paracentesis incisions marking pattern (at 10mm optic zone) K3-7930 K2-6520 ® 800 -225-1195 • www.katena.com KI-Adv-012419-Rev 0 LRI Solutions For Astigmatic Correction Visit Katena at Booth #945 at ASCRS 2019

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