Risks and outcomes associated with primary intraocular lens implantation in children under 2 years of age: the IoLunder2 cohort study
| Autor: | Phillippa M. Cumberland, Ameenat Lola Solebo, Isabelle Russell-Eggitt, Jugnoo S Rahi |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Reoperation Intraocular pressure medicine.medical_specialty Visual acuity Pseudophakia genetic structures medicine.medical_treatment Visual Acuity Glaucoma Intraocular lens Cataract Extraction Cataract Cohort Studies Cellular and Molecular Neuroscience Postoperative Complications Lens Implantation Intraocular Risk Factors Epidemiology medicine Humans Prospective Studies General anaesthetic business.industry Infant Cataract surgery medicine.disease eye diseases Sensory Systems Surgery Ophthalmology Female sense organs medicine.symptom business Cohort study |
| Zdroj: | British Journal of Ophthalmology. 99:1471-1476 |
| ISSN: | 1468-2079 0007-1161 |
| Popis: | Background/aims To investigate outcomes following cataract surgery with and without primary intraocular lens (IoL) implantation in children under 2 years of age with congenital or infantile cataract. Method Prospective population based cohort study undertaken through the British Isles Congenital Cataract Interest Group, with systematic data collection on children undergoing surgery in UK and Ireland between January 2009 and December 2010. ORs for the association between IoL implantation and visual acuity, postoperative glaucoma and reoperation at 1 year after surgery were estimated using multivariable regression analysis to control for potential confounders. Results Of 221 children, 56/131 with bilateral and 48/ 90 with unilateral cataract underwent primary IoL implantation. IoL implantation was independently associated with better visual outcome in bilateral (OR 4.6, 95% CI 1.6 to 13.1, p=0.004) but not unilateral disease. IoL use increased the odds of reoperation requiring repeat general anaesthetic (bilateral OR 5.5, p |
| Databáze: | OpenAIRE |
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