Long-term longitudinal assessment of postoperative outcomes after congenital cataract surgery in children with congenital rubella syndrome.

Sajani K Shah, Mamidipudi R Praveen, Abhay R Vasavada, Vaishali A Vasavada, Roberta Carelli, Rupal H Trivedi, Viktor Rasoebala

Journal of cataract and refractive surgery 2014 Dec

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To assess the intraoperative and long-term longitudinal postoperative outcomes of cataract surgery in children with congenital rubella syndrome. Iladevi Cataract & IOL Research Centre, Ahmedabad, India. Prospective observational clinical study. Children with congenital rubella syndrome who had cataract surgery were enrolled. All microphthalmic eyes were left aphakic. A 1-piece hydrophobic acrylic intraocular lens was implanted in the capsular bag in eyes without microphthalmos. The postoperative observations included complications and visual assessments up to 5 years. The mean age of the 21 children (37 eyes) was 3.97 months ± 2.1 (SD). Intraocular lens implantation was performed in 12 eyes (32.4%), while 25 eyes (67.6%) were left aphakic. Postoperatively, the median follow-up was 60.79 months. Posterior synechiae were observed in 22 eyes (59.5%) and visual axis opacification in 9 eyes (24.3%). Secondary glaucoma was observed in 16 eyes (43.2%), of which 14 were aphakic and 1 was pseudophakic. Nine eyes required trabeculectomy. Age at surgery and ocular comorbidities were statistically significantly associated with secondary glaucoma (P<.05, χ(2) test and Kendall τB criteria P<.05). The mean corrected distance visual acuity at the final follow-up was 0.72 ± 0.56 logMAR. The long-term results suggest good visual outcomes can be obtained with congenital cataract associated with congenital rubella syndrome after early surgical intervention. The rate of serious postoperative complications was acceptable. Copyright © 2014 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Citation

Sajani K Shah, Mamidipudi R Praveen, Abhay R Vasavada, Vaishali A Vasavada, Roberta Carelli, Rupal H Trivedi, Viktor Rasoebala. Long-term longitudinal assessment of postoperative outcomes after congenital cataract surgery in children with congenital rubella syndrome. Journal of cataract and refractive surgery. 2014 Dec;40(12):2091-8