Abstract | PURPOSE: METHODS: A total of 89 children (37 boys, 52 girls) with PHPV in one eye (mean follow-up of 6.3 +/- 5.7 years) were included. The children were subgrouped according to treatment modality. Twenty-eight (31.5%) children were managed conservatively (nonoperated). Cataract extraction combined with vitrectomy and removal of embryonic remnants was carried out in 61 eyes (68.5%). Intraocular lenses were implanted in 30 of the operated eyes (pseudophakic) and 31 eyes remained without lens (aphakic). RESULTS: Final evaluated visual acuity in the entire group was 6/15 or better in 12.6% (11 of 87) of the eyes. A total of 11.5% (10 of 87) had a visual acuity of 6/21 to 6/60, 46.0% (40 of 87) obtained 6/90 to light perception and 26 of 87 (29.9%) had no light perception in the involved eye. The rate of no light perception was significantly lower in patients with pseudophakia (10.0%) compared to those with aphakia (43.3%) or nonoperated (37.0%) eyes (P =.009). Intraocular pressure was adequately assessed repeatedly in 72 eyes. High intraocular pressure and glaucomatous changes were observed in 7 of 31 (22.6%) patients with aphakia, 2 of 24(8.3%) patients with pseudophakia and in 2 of 17(11.8%) nonoperated eyes (P =.34). Poor cosmetic outcome was seen in 12 of 31 (38.7%) children with aphakic eyes and 5 of 30 (16.7%) children with pseudophakic eyes (P =.08). Prosthesis or cosmetic shells were needed for 8 of 31 patients with aphakia, for none of the patients with pseudophakia and for 2 of 28 of the nonoperated children (P =.003). CONCLUSION: PHPV eyes have a potential for developing useful vision with favorable cosmetic outcome after surgery. Intraocular lens implantation may be a favorable and beneficial option for the management of children with unilateral PHPV.
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Authors | Irene Anteby, Evelyne Cohen, Ilana Karshai, David BenEzra |
Journal | Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
(J AAPOS)
Vol. 6
Issue 2
Pg. 92-9
(Apr 2002)
ISSN: 1091-8531 [Print] United States |
PMID | 11997805
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Aphakia, Postcataract
(physiopathology)
- Cataract Extraction
- Child
- Child, Preschool
- Eye Abnormalities
(physiopathology, surgery)
- Eye Diseases
(physiopathology, surgery)
- Female
- Humans
- Hyperplasia
- Infant
- Infant, Newborn
- Intraocular Pressure
- Lens Implantation, Intraocular
- Male
- Postoperative Complications
- Treatment Outcome
- Visual Acuity
- Vitrectomy
- Vitreous Body
(abnormalities, pathology)
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