Your institution is subscribed to Read Institutional Edition. Log in or Sign Up to read full text articles.


Preoperative considerations and outcomes of primary intraocular lens implantation in children with posterior polar and posterior lentiglobus cataract

Susannah K Mistr, Rupal H Trivedi, M Edward Wilson
Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus 2008, 12 (1): 58-61

PURPOSE: To report outcomes for pediatric posterior polar and posterior lentiglobus (lenticonus) cataracts.

METHODS: All posterior polar and posterior lentiglobus cataracts operated by the senior author were identified by retrospective database review. Excluding one eye in bilateral cases, preoperative and intraoperative details were collected. All eyes were analyzed for preoperative biometry and surgical details; however, a minimum of 4 weeks of follow-up was required for analysis of visual function.

RESULTS: Of 415 nontraumatic cataract cases with primary intraocular lens (IOL) implantation, 62 (15.0%) were identified with posterior polar (30/415, 7.3%) or posterior lentiglobus cataract (32/415, 7.7%). Twenty-eight (93%) posterior polar and all 32 posterior lentiglobus cases were monocular. Statistical comparison between the posterior polar and posterior lentiglobus groups for each of the following: age at time of surgery, preoperative axial length, lens thickness, and keratometry, showed no significant differences. IOL implantation was primarily in the capsular bag in both groups, 27/28 (96%) posterior polar and 25/32 (78%) posterior lentiglobus. Operative complications were rare. Twenty-five eyes in each group have follow-up greater than 4 weeks and were analyzed for visual function. A robust majority of patients in both groups, 21/25 (84%) posterior polar and 17/25 (68%) posterior lentiglobus cases, demonstrated postoperative visual acuity of 20/40 or better (or none to only a slight contralateral eye preference). Strabismus was infrequent in both groups pre- and postoperatively.

CONCLUSIONS: Posterior polar and posterior lentiglobus cataracts represent a large subset of nontraumatic cataracts in a pediatric cataract specialty practice. Visual outcomes are generally good. Complications are rare.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.