Retrospective cohort reports long-term visual outcomes in pediatric cataract surgery, suggesting significant associations with age and surgery type.
Key Points
To evaluate the long-term visual and refractive outcomes after pediatric cataract surgery while considering the effects of various clinical factors.
Retrospective analysis of pediatric patients aged ≤18 years who underwent cataract extraction from January 2000 to December 2021.
Data collected included demographics, IOL status, surgical details, preoperative refraction, and postoperative visual outcomes.
Final visual acuity was analyzed using mixed-effects models and GEE logistic models for binary outcomes.
Mean follow-up duration was 53.3 months; mean final visual acuity was 0.41 logMAR, with 51.1% achieving ≤0.30 logMAR.
Adjusted analyses showed older age at surgery was positively associated with better visual outcomes (OR 1.37 per year, p=0.019).
Primary posterior capsulotomy/anterior vitrectomy was linked with higher logMAR scores but not significantly different for the binary visual acuity endpoint.