Five-Year Postoperative Outcomes of Bilateral Aphakia and Pseudophakia in Children up to 2 Years of Age: A Randomized Clinical Trial.

Purpose: Comparative evaluation of complications and visual outcomes following bilateral congenital cataract surgery in children up to 2 years of age with and without primary intraocular lens (IOL) implantation at 5 years follow-up.

Design: Randomized controlled clinical trial.

Methods: Sixty children (120 eyes) up to 2 years of age undergoing bilateral congenital cataract surgery were randomized to Group 1, primary aphakia (n = 30), or Group 2, primary IOL implantation (pseudophakia) (n = 30).

Postoperative outcomes of intraocular lens implantation in the bag versus posterior optic capture in pediatric cataract surgery.

Purpose: To compare complications in children up to 4 years old having cataract surgery with intraocular lens (IOL) implantation using 2 techniques: in-the-bag IOL with anterior vitrectomy or optic capture of IOL with no anterior vitrectomy.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective randomized control clinical trial.

Long-term postoperative outcomes after bilateral congenital cataract surgery in eyes with microphthalmos.

Purpose: To evaluate the long-term impact of bilateral cataract surgery on postoperative complications, influence of age at surgery on the pattern of axial growth and central corneal thickness (CCT), and visual and orthoptic assessment in microphthalmic eyes.

Setting: Iladevi Cataract and IOL Research Centre, Ahmedabad, India.

Design: Prospective longitudinal study.

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

Purpose: To assess the intraoperative and long-term longitudinal postoperative outcomes of cataract surgery in children with congenital rubella syndrome.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective observational clinical study.

Contrast sensitivity assessment in pediatric cataract surgery: comparison of preoperative and early postoperative outcomes.

Purpose: To evaluate the preoperative and early postoperative differences in contrast sensitivity at high and low spatial frequencies after cataract extraction with in-the-bag intraocular lens (IOL) implantation in children presenting with lamellar and posterior subcapsular cataract.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective clinical trial.

Assessment of peripapillary retinal nerve fiber layer thickness using scanning laser polarimetry (GDx VCC) in normal Indian children.

Purpose: To obtain reference values of RNFL thickness in normal Indian children and to study the association of RNFL thickness with central corneal thickness(CCT) and axial length(AL).

Materials And Methods: 200 normal Indian children (mean age 8.6 ± 2.

Subtle signs of an intact anterior vitreous face during pediatric cataract surgery.

We describe the subtle signs of the anterior vitreous face as a bulging structure, a homogenous staining pattern of 3 buttonholes, and a lamellar or fibrillar pattern intact. This should help surgeons correctly recognize the intact anterior vitreous face.

Corneal endothelial morphologic assessment in pediatric cataract surgery with intraocular lens implantation: a comparison of preoperative and early postoperative specular microscopy.

Purpose: To observe longitudinal changes in the corneal endothelium after pediatric cataract surgery with intraocular lens implantation.

Design: Prospective, longitudinal study.

Methods: settings: Iladevi Cataract and IOL Research Centre, Ahmedabad, India.

Anti-inflammatory effect of low-molecular-weight heparin in pediatric cataract surgery: a randomized clinical trial.

Purpose: To determine if intraocular infusion of low-molecular-weight heparin (enoxaparin) reduces postoperative inflammation in pediatric eyes undergoing cataract surgery with IOL implantation.

Design: Prospective masked randomized controlled trial.

Methods: setting: Private, institutional practice.

Outcomes of pediatric cataract surgery in anterior persistent fetal vasculature.

Purpose: To report the intraoperative performance and postoperative outcomes in eyes with anterior persistent fetal vasculature (PFV).

Setting: Iladevi Cataract & IOL Research Centre, India, and Filatov Institute Odessa, Ukraine.

Design: Prospective interventional case series.

Pars plicata posterior continuous curvilinear capsulorhexis.

We describe a technique of pars plicata manual posterior capsulorhexis performed after implantation of an intraocular lens (IOL) in pediatric cataract surgery. The technique can be used to create a posterior capsulectomy of a desirable size in a controlled manner to avoid destabilization of the IOL. It can be applied selectively in cases of pediatric cataract surgery.

Posterior capsule management in congenital cataract surgery.

Unlabelled: Management of the posterior capsule significantly affects the outcome of pediatric cataract surgery. Posterior capsule opacification (PCO) is rapid and virtually inevitable in very young children when adult-style cataract surgery is performed and the posterior capsule is left intact. In eyes with pediatric cataract, primary posterior capsulotomy and vitrectomy are considered routine surgical steps, especially in younger children.

Visual axis opacification after cataract surgery and hydrophobic acrylic intraocular lens implantation in the first year of life.

Purpose: To report the incidence of visual axis opacification (VAO) requiring surgery after cataract extraction with hydrophobic acrylic intraocular lens (IOL) implantation during the first year of life.

Setting: Storm Eye Institute, Charleston, South Carolina, USA; Iladevi Cataract and IOL Research Center, Ahmedabad, India.

Design: Cohort study.

Incidence, management, and postoperative outcomes in pediatric eyes with coexisting posterior capsule plaque and cataract.

Purpose: To determine the incidence and evaluate the management and postoperative outcomes of posterior capsule plaque in pediatric eyes with cataract.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Cohort study.

Outcomes of cataract surgery and intraocular lens implantation with and without intracameral triamcinolone in pediatric eyes.

Purpose: To evaluate whether intracameral triamcinolone has an effect on anterior segment inflammation and visual axis obscuration after pediatric cataract surgery with intraocular (IOL) implantation.

Setting: Iladevi Cataract and IOL Research Institute, Ahmedabad, India.

Methods: This retrospective age-matched case-control study comprised consecutive eyes of children having phacoaspiration, posterior capsulectomy, vitrectomy, and IOL implantation.

Triamcinolone-assisted vitrectomy in pediatric cataract surgery: intraoperative effectiveness and postoperative outcome.

Purpose: To evaluate intraoperative effectiveness and postoperative outcome of intracameral, preservative-free triamcinolone acetonide in pediatric cataract surgery.

Methods: A prospective, interventional, observational case series was performed in children undergoing congenital cataract surgery. Three standardized applications of triamcinolone acetonide were used.

Intraoperative posterior capsule flutter in posterior lentiglobus.

Posterior capsules of pediatric eyes with lens disorders have complex morphological variations with differing etiologies and visual prognoses. We describe a unique case of intraoperative posterior capsule flutter in an eye of a child undergoing cataract surgery, which we interpret as a possible expression of posterior lentiglobus.

Intraoperative performance and postoperative outcomes of cataract surgery in infant eyes with microphthalmos.

Purpose: To report the intraoperative performance and postoperative outcomes in microphthalmic eyes of infants younger than 1 year having bilateral cataract surgery.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Methods: This prospective observational study excluded eyes with ocular trauma, inflammation, posterior persistent fetal vasculature causing stretching of the ciliary processes or tractional retinal detachment, aniridia, or chorioretinal coloboma.

Triamcinolone-assisted vitrectomy in pediatric cataract surgery.

We describe a technique to manage anterior vitreous face disturbance that may occur during performance of a manual posterior continuous curvilinear capsulorhexis (PCCC) in pediatric eyes. The technique renders the vitreous visible to the anterior segment surgeon and ensures a thorough and complete anterior vitrectomy in congenital cataract surgery after a manual PCCC using preservative-free triamcinolone acetonide.

Preoperative prediction of posterior capsule plaque in eyes with posterior subcapsular cataract.

Aim: To determine whether the plaque on the posterior capsule can be predicted preoperatively, in patients with posterior subcapsular cataract (PSC), undergoing cataract surgery.

Materials And Methods: A prospective study of 140 consecutive eyes with PSC, who underwent cataract surgery, was conducted. The prediction of preoperative presence or absence of plaque within the PSC was noted on slit lamp examination, in dilated pupils.