Accuracy of biometry in pediatric cataract extraction with primary intraocular lens implantation

Daniel B. Moore, Itay Ben Zion, Daniel Neely, David Plager, Susan Ofner, Derek T. Sprunger, Gavin J. Roberts

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Purpose: To determine the accuracy of predicted postoperative refractive outcomes in pediatric patients having cataract surgery with intraocular lens (IOL) implantation and to compare them with other variables historically considered important in cataract surgery. Setting: Tertiary care referral hospital. Methods: This retrospective review comprised 203 eyes of 153 consecutive pediatric patients (≤18 years old) having cataract extraction with primary posterior chamber IOL implantation in the capsular bag. All cases were performed by 1 of 2 surgeons, and all refractions were performed manually by an experienced pediatric ophthalmologist using a retinoscope. Results: In all patients, the mean absolute value (MAE) of the prediction error was 1.08 diopters (D) ± 0.93 (SD). Age at time of surgery and corneal (K) mean curvature were significantly correlated with the absolute value of the prediction error (P = .0006 and P = .0088, respectively). A multiple regression model showed that age at time of surgery and K mean curvature were the only 2 variables significantly associated with MAE; axial length, formula, surgeon, and A-scan type were not significantly associated with prediction error. Conclusions: Data from 203 consecutive primary pediatric IOL implantations showed the heterogeneous nature of the variables involved in predictions of refractive outcomes in this population. The complexities of this issue support the need for specific methods of measurement and an IOL calculation formula for the pediatric population.

Original languageEnglish
Pages (from-to)1940-1947
Number of pages8
JournalJournal of Cataract and Refractive Surgery
Volume34
Issue number11
DOIs
StatePublished - Nov 2008

Fingerprint

Biometry
Intraocular Lens Implantation
Cataract Extraction
Pediatrics
Cataract
Retinoscopes
Intraocular Lenses
Tertiary Healthcare
Tertiary Care Centers
Population

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Surgery

Cite this

Accuracy of biometry in pediatric cataract extraction with primary intraocular lens implantation. / Moore, Daniel B.; Ben Zion, Itay; Neely, Daniel; Plager, David; Ofner, Susan; Sprunger, Derek T.; Roberts, Gavin J.

In: Journal of Cataract and Refractive Surgery, Vol. 34, No. 11, 11.2008, p. 1940-1947.

Research output: Contribution to journalArticle

Moore, Daniel B. ; Ben Zion, Itay ; Neely, Daniel ; Plager, David ; Ofner, Susan ; Sprunger, Derek T. ; Roberts, Gavin J. / Accuracy of biometry in pediatric cataract extraction with primary intraocular lens implantation. In: Journal of Cataract and Refractive Surgery. 2008 ; Vol. 34, No. 11. pp. 1940-1947.
@article{0fec9c4afe9040d7965231a15e23a9e9,
title = "Accuracy of biometry in pediatric cataract extraction with primary intraocular lens implantation",
abstract = "Purpose: To determine the accuracy of predicted postoperative refractive outcomes in pediatric patients having cataract surgery with intraocular lens (IOL) implantation and to compare them with other variables historically considered important in cataract surgery. Setting: Tertiary care referral hospital. Methods: This retrospective review comprised 203 eyes of 153 consecutive pediatric patients (≤18 years old) having cataract extraction with primary posterior chamber IOL implantation in the capsular bag. All cases were performed by 1 of 2 surgeons, and all refractions were performed manually by an experienced pediatric ophthalmologist using a retinoscope. Results: In all patients, the mean absolute value (MAE) of the prediction error was 1.08 diopters (D) ± 0.93 (SD). Age at time of surgery and corneal (K) mean curvature were significantly correlated with the absolute value of the prediction error (P = .0006 and P = .0088, respectively). A multiple regression model showed that age at time of surgery and K mean curvature were the only 2 variables significantly associated with MAE; axial length, formula, surgeon, and A-scan type were not significantly associated with prediction error. Conclusions: Data from 203 consecutive primary pediatric IOL implantations showed the heterogeneous nature of the variables involved in predictions of refractive outcomes in this population. The complexities of this issue support the need for specific methods of measurement and an IOL calculation formula for the pediatric population.",
author = "Moore, {Daniel B.} and {Ben Zion}, Itay and Daniel Neely and David Plager and Susan Ofner and Sprunger, {Derek T.} and Roberts, {Gavin J.}",
year = "2008",
month = "11",
doi = "10.1016/j.jcrs.2008.07.019",
language = "English",
volume = "34",
pages = "1940--1947",
journal = "Journal of Cataract and Refractive Surgery",
issn = "0886-3350",
publisher = "Elsevier Inc.",
number = "11",

}

TY - JOUR

T1 - Accuracy of biometry in pediatric cataract extraction with primary intraocular lens implantation

AU - Moore, Daniel B.

AU - Ben Zion, Itay

AU - Neely, Daniel

AU - Plager, David

AU - Ofner, Susan

AU - Sprunger, Derek T.

AU - Roberts, Gavin J.

PY - 2008/11

Y1 - 2008/11

N2 - Purpose: To determine the accuracy of predicted postoperative refractive outcomes in pediatric patients having cataract surgery with intraocular lens (IOL) implantation and to compare them with other variables historically considered important in cataract surgery. Setting: Tertiary care referral hospital. Methods: This retrospective review comprised 203 eyes of 153 consecutive pediatric patients (≤18 years old) having cataract extraction with primary posterior chamber IOL implantation in the capsular bag. All cases were performed by 1 of 2 surgeons, and all refractions were performed manually by an experienced pediatric ophthalmologist using a retinoscope. Results: In all patients, the mean absolute value (MAE) of the prediction error was 1.08 diopters (D) ± 0.93 (SD). Age at time of surgery and corneal (K) mean curvature were significantly correlated with the absolute value of the prediction error (P = .0006 and P = .0088, respectively). A multiple regression model showed that age at time of surgery and K mean curvature were the only 2 variables significantly associated with MAE; axial length, formula, surgeon, and A-scan type were not significantly associated with prediction error. Conclusions: Data from 203 consecutive primary pediatric IOL implantations showed the heterogeneous nature of the variables involved in predictions of refractive outcomes in this population. The complexities of this issue support the need for specific methods of measurement and an IOL calculation formula for the pediatric population.

AB - Purpose: To determine the accuracy of predicted postoperative refractive outcomes in pediatric patients having cataract surgery with intraocular lens (IOL) implantation and to compare them with other variables historically considered important in cataract surgery. Setting: Tertiary care referral hospital. Methods: This retrospective review comprised 203 eyes of 153 consecutive pediatric patients (≤18 years old) having cataract extraction with primary posterior chamber IOL implantation in the capsular bag. All cases were performed by 1 of 2 surgeons, and all refractions were performed manually by an experienced pediatric ophthalmologist using a retinoscope. Results: In all patients, the mean absolute value (MAE) of the prediction error was 1.08 diopters (D) ± 0.93 (SD). Age at time of surgery and corneal (K) mean curvature were significantly correlated with the absolute value of the prediction error (P = .0006 and P = .0088, respectively). A multiple regression model showed that age at time of surgery and K mean curvature were the only 2 variables significantly associated with MAE; axial length, formula, surgeon, and A-scan type were not significantly associated with prediction error. Conclusions: Data from 203 consecutive primary pediatric IOL implantations showed the heterogeneous nature of the variables involved in predictions of refractive outcomes in this population. The complexities of this issue support the need for specific methods of measurement and an IOL calculation formula for the pediatric population.

UR - http://www.scopus.com/inward/record.url?scp=55649086387&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55649086387&partnerID=8YFLogxK

U2 - 10.1016/j.jcrs.2008.07.019

DO - 10.1016/j.jcrs.2008.07.019

M3 - Article

VL - 34

SP - 1940

EP - 1947

JO - Journal of Cataract and Refractive Surgery

JF - Journal of Cataract and Refractive Surgery

SN - 0886-3350

IS - 11

ER -