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Longitudinal changes of the macular structure after lens removal combined with anterior vitrectomy after pediatric cataract surgery
- Source :
- Journal of Cataract and Refractive Surgery. 46:1108-1113
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- PURPOSE To explore the macular thickness changes after lens removal combined with anterior vitrectomy for pediatric cataract surgery. SETTING The Eye Hospital of Wenzhou Medical University, Zhejiang, China. DESIGN Prospective study. METHODS Thirty children (40 eyes) aged between 3 years and 9 years with pediatric cataracts, including 20 children (20 eyes) with unilateral cataracts and 10 children (20 eyes) with bilateral cataracts, were enrolled. Spectral-domain optical coherence tomography was used to obtain macular images. Central subfield thickness (CST) and retinal thickness in the Early Treatment Diabetic Retinopathy Study subfields (inner 1.0 to 3.0 mm annulus and outer 3.0 to 6.0 mm annulus) were recorded preoperatively as well as at 1, 3, 6, and 12 months postoperatively. RESULTS Forty eyes of 30 children were included. Retinal thickness in every subfield significantly thickened at 3 months postoperatively (all P < .05). CST significantly thickened compared with preoperative levels (228.03 ± 18.58 vs 240.35 ± 17.41, P = .005) at 3 months postoperatively; macular thickness gradually decreased in the following months. At 6 months postoperatively, retinal thickness in inner nasal, inferior, temporal, and outer nasal subfields remained significantly thicker compared with preoperative levels (P = .048, P = .036, P = .029, and P = .017, respectively). At 12 months, the retinal thickness in all subfields reached the preoperative level. CONCLUSIONS The influence on macular thickness lasted until 12 months after pediatric cataract surgery. The inner macular thickness increased for a longer time than the outer macular thickness postoperatively.
- Subjects :
- China
medicine.medical_specialty
Visual acuity
genetic structures
medicine.medical_treatment
Visual Acuity
Vitrectomy
Cataract
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Cataracts
Optical coherence tomography
medicine
Humans
Prospective Studies
Child
Prospective cohort study
medicine.diagnostic_test
business.industry
Retinal
Diabetic retinopathy
medicine.disease
eye diseases
Sensory Systems
Bilateral Cataracts
Surgery
Ophthalmology
chemistry
Child, Preschool
030221 ophthalmology & optometry
sense organs
medicine.symptom
business
Tomography, Optical Coherence
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18734502 and 08863350
- Volume :
- 46
- Database :
- OpenAIRE
- Journal :
- Journal of Cataract and Refractive Surgery
- Accession number :
- edsair.doi.dedup.....ccf9fbdca00fe6b2c054e00e2097e8bf