Cataract surgery in children with congenital keratolenticular adhesion (Peters anomaly type 2)

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Anagha Medsinge, Ken K Nischal

Abstract

To report the visual and surgical outcomes after cataract surgery in children with keratolenticular adhesion (Peters anomaly type 2). The medical records of consecutive patients with keratolenticular adhesion (KLA) with partial (iris defects)/complete aniridia were retrospectively reviewed. Cataract surgery (in-the-bag irrigation and aspiration) with or without intraocular lens implantation and with or without broad iridectomy was performed. The main outcome measures were postoperative visual acuity, complications, and progression of corneal opacity. The study included 4 eyes of 3 patients ranging in age from 3 months to 7 years. The mean age at cataract surgery was 37 months; the median, 24 months (range, 3-84 months). The mean follow-up was 3.3 years and median was 2 years (range, 2-6 years). Preoperative visual acuity ranged from fixing and following objects to 20/200. Only 1 patient had PAX6 mutation-confirmed aniridia. The other 2 patients had partial iris defects. All eyes improved in visual acuity ranging from counting fingers at 3 feet to 20/60. There was no progression of corneal opacity. There were no postoperative complications. Children with KLA with complete or partial iris defects with localized corneal opacity an...Continue Reading

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Citations

Jul 18, 2020·Eye and Vision·Zhangliang LiYune Zhao
Dec 30, 2021·International Ophthalmology Clinics·Abdelrahman M ElhusseinyShazia F Ali

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