A Cross-Sectional Online Survey Identifies Subspecialty Differences in the Management of Pediatric Cataracts Associated with Uveitis.

Ophthalmology and Therapy
Samuel J CarpentierAlan G Palestine

Abstract

To determine if differences exist between pediatric ophthalmologists and uveitis ophthalmologists in the treatment of pediatric uveitic cataracts and placement of intraocular lenses. Uveitis ophthalmologists and pediatric ophthalmologists were surveyed via an online poll regarding their therapeutic management of pediatric uveitic cataract and intraocular lens (IOL) placement. Sixty-two responses from uveitis ophthalmologists and 47 responses from pediatric ophthalmologists were recorded. According to 79% of all responses, uveitis was not a contraindication for primary IOL implantation in patients with controlled intraocular inflammation. Pediatric ophthalmologists were more likely to respond that the presence of chronic juvenile idiopathic arthritis-associated iridocyclitis, pars planitis, or recurrent acute anterior uveitis is a contraindication for primary IOL implantation in pediatric cases with full control of intraocular inflammation. There was no consensus within either specialty with regard to the preferred IOL material for lens implantation. Uveitis ophthalmologists were more likely to report the use of intravenous and intravitreal steroids for perioperative treatment. In cataract surgery for a child with recurrent acut...Continue Reading

Associated Clinical Trials

Apr 3, 2020·Mona Abdallah Abdal Razik Ahmed

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Citations

Aug 11, 2020·Journal of Cataract and Refractive Surgery·John S M Chang
Oct 8, 2020·European Journal of Ophthalmology·Micheal O'RourkeDonal Brosnahan
Nov 24, 2020·Therapeutic Advances in Ophthalmology·Najiha RahmanAmeenat Lola Solebo

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