Retinal detachment may occur early after pediatric cataract surgery

April 16, 2021

1 min read

Source / Disclosures Published by:

Source:

Nguyen AM, et al. Incidence of early retinal detachment after cataract surgery in children using the Optum dataset. Presented at: American Association for Pediatric Ophthalmology and Strabismus Annual Meeting; April 9-11, 2021 (virtual meeting).

Disclosures:
Nguyen does not report relevant financial information.

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Retinal detachment may occur more often and earlier in pediatric patients after cataract surgery than previously reported, according to a study at the American Association for Pediatric Ophthalmology and Strabismus Virtual Meeting.

Retinal detachment (RD) in children immediately after surgery has not been well studied.

Angeline M. Nguyen, MD, of Children’s Hospital Los Angeles and University of Southern California, and colleagues examined a retrospective review of nearly 58 million charts in the Optum dataset, identifying 731 patients under the age of 13 who had undergone cataract surgery between 2003 and 2017.

The mean age of the patients at the time of cataract surgery was 5 years. Primary IOL implantation occurred in 70.3% of the eyes.

RD occurred in 1.2% of patients within 90 days of surgery, with a median time to diagnosis of 28 days.

After applying multivariate regression, the researchers found that persistent fetal vasculature was associated with a 10 times greater chance of developing RD.

“Our study informs about the risk of cataract surgery in children and emphasized the need for dilated fundus examinations early in the postoperative period,” said Nguyen.

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American Association for Pediatric Ophthalmology and Strabismus

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