Complications Occurring Through 5 Years Following Primary Intraocular Lens Implantation for Pediatric Cataract

作者：Kimberly G. Yen, Michael X. Repka, Desirae R. Sutherland, Kathryn M. Haider, Sarah R. Hatt, Raymond T. Kraker, Jennifer Galvin, Zhuokai Li, Susan A. Cotter, Jonathan M. Holmes, Pediatric Eye Disease Investigator Group, Sharon F. Freedman, David K. Wallace, Laura B. Enyedi, S. Grace Prakalapakorn, Sarah K. Jones, Denise Hug, Erin D. Stahl, Rebecca J. Dent, Lingkun Kong, Serena Wang, Bryan K. Gallerson, Amy K. Hutchinson, Phoebe D. Lenhart, Judy Brower, David G. Morrison, Scott T. Ruark, Rebecca Mets-Halgrimson, Hawke Yoon, Hantamalala Ralay Ranaivo, Aaliyah Hamidullah, Raymond G. Areaux, Jill S. Anderson, Ann M. Holleschau, Rosanne Superstein, Caroline Bélanger, Nicole Fallaha, Patrick Hamel, Maryse Thibeault, Susanna M. Tamkins, Ta Chen Chang, Hee-Jung S. Park, Anya A. Trumler, Xiaonong Liu, William F. Astle, Emi Sanders, Elias I. Traboulsi, Fatema F. Ghasia, Diana C. McOwen, Michael E. Gray, Michael B. Yang, Corey S. Bowman, Margaret Therriault, Heather Smith, Michele E. Whitaker, Faruk Örge, A. Paula Grigorian, Alicia M. Baird, Mitchell B. Strominger, Vicki Chen, Shelley Klein, Jacquelyn D. Kemmer, Alexandra E. Neiman, Myra N. Mendoza, Jill J. Frohwein, Don L. Bremer, Cybil Cassady, Richard P. Golden, Catherine O. Jordan, David L. Rogers, Sara A. Oravec, Tammy L. Yanovitch, Keven Lunsford, Christina Nye, Caroline Shea, SueAnn M. Stillman, Gaétan Laroche, Stephen C. Van Iderstine, Elisa Robertson, Oscar A. Cruz, Rafif Ghadban, Dawn Govreau, Scott A. Larson, Susannah Q. Longmuir, Xiaoyan Shan, Michael W. Clarke, Kate Taylor, Christine Powell, Benjamin P. Hammond, Matthew D. Gearinger, Andrea Czubinski, Dorothy Hendricks, Jing Jin, Jonathan Salvin, Alicia Fisher, Katherine A. Lee, Daniel Brooks, Bonita R. Schweinler, Nicholas A. Sala, Allyson M. Sala, Allison I. Summers, Daniel J. Karr, Lorri B. Wilson, Paula K. Rauch, Mary O’Hara, Nandini Gandhi, Tania Hashmi, Jeffrey Colburn, Eileen Dittman, Charles R. Whitfill, Amy M. Wheeler, Emily A. McCourt, Jasleen Singh, Nanastasia Welnick, Nathalie F. Azar, Joseph Baker, Patrick J. Droste, Robert J. Peters, Jan Hilbrands, Stacy L. Pineles, Marianne J. Bernardo, Edward Peterson, Charla H. Peterson, Kartik Kumar, Ephrem Melese, Robert W. Lingua, Jeff Grijalva, Earl R. Crouch, Earl R. Crouch, Gaylord Ventura, William Anninger, Shawn L. Benson, Karen A. Karp, Jordana M. Smith, Jill Brickman-Kelleher, Benjamin H. Ticho, Alexander J. Khammar, Deborah A. Clausius, Suquin Guo, Donny W. Suh, Carolyn Chamberlain, Susan Schloff, William P. Madigan, Donna Burkman, Stephen P. Christiansen, Jean E. Ramsey, Kate H. McConnell, Ilana Friedman, José Rosado, Donald P. Sauberan, Jody C. Hemberger, Patricia L. Davis, Indre Rudaitis, Robert S. Lowery, Shawn Cupit, Erick D. Bothun, Brian G. Mohney, Suzanne M. Wernimont, Rebecca A. Neilsen, Erin P. Herlihy, Francine Baran, Amy Gladstone, Justin Smith, Mei Mellott, Troy Kieser, S. Ayse Erzurum, Beth Colon, Birva Shah, Micaela Quebbemann, Roy W. Beck, Darrell S. Austin, Nicole M. Boyle, Courtney L. Conner, Danielle L. Chandler, Quayleen Donahue, Brooke P. Fimbel, Julianne L. Robinson, Amra Hercinovic, James E. Hoepner, Joseph D. Kaplon, Robert J. Henderson, Michele Melia, Gillaine Ortiz, Victoria C. Woodard, Kathleen M. Stutz, Rui Wu, Donald F. Everett, Marie Diener‐West, John D. Baker, Barry R. Davis, Dale L. Phelps, Stephen W. Poff, Richard Saunders, Lawrence Tychsen, Yasmin S. Bradfield, Nicole C. Foster, David A. Plager, Daniel J. Salchow, Eileen E. Birch, Ruth E. Manny, Jayne L. Silver, Katherine K. Weise, Lisa C. Verderber, Trevano W. Dean, Alejandra G. de Alba Campomanes, Marielle P. Young, Bahram Rahmani, George F. Whitehead, Scott R. Lambert, Sudhi P. Kurup, Courtney L. Kraus · 发表于：JAMA Ophthalmology · 年份：2023 · DOI：10.1001/jamaophthalmol.2023.2335 · 被引用次数：14 · 研究领域：Intraocular Surgery and Lenses、Ophthalmology and Visual Impairment Studies、Retinal and Macular Surgery

Importance: Lensectomy with primary intraocular lens (IOL) implantation is often used in the management of nontraumatic pediatric cataract, but long-term data evaluating the association of age and IOL location with the incidence of complications are limited. Objective: To describe the incidence of complications and additional eye surgeries through 5 years following pediatric lensectomy with primary IOL implantation and association with age at surgery and IOL location. Design, Setting, and Participants: This prospective cohort study used Pediatric Eye Disease Investigator Group cataract registry data from 61 institution- and community-based practices over 3 years (June 2012 to July 2015). Participants were children younger than 13 years without baseline glaucoma who had primary IOL implantation (345 bilateral and 264 unilateral) for nontraumatic cataract. Data analysis was performed between September 2021 and January 2023. Exposures: Lensectomy with primary IOL implantation. Main Outcome and Measures: Five-year cumulative incidence of complications by age at surgery (<2 years, 2 to <4 years, 4 to <7 years, and 7 to <13 years) and by IOL location (sulcus vs capsular bag) were estimated using Cox proportional hazards models. Results: The cohort included 609 eyes from 491 children (mean [SD] age, 5.6 [3.3] years; 261 [53%] male and 230 [47%] female). Following cataract extraction with primary IOL implantation, a frequent complication was surgery for visual axis opacification (VAO...