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Prevalence of good visual acuity following surgery for congenital unilateral cataract. 1988

E E Birch, and D R Stager
Retina Foundation of the Southwest, Dallas, TX 75231.

The prevalence of good visual acuity following surgery for congenital unilateral cataract was examined in a group of patients seen between 1980 and 1986. Overall, 53% of patients obtained linear distance acuities of 20/80 or better by 3 to 7 years of age. The best outcomes followed surgery during the first two months of life, prompt lens fitting, aggressive occlusion therapy, and regular follow-up. Nonetheless, aphakic eyes did not achieve a visual acuity of 20/20 in the sample. Prospective "preferential-looking" data demonstrated a failure of aphakic eyes to keep pace with the normal developmental course after 18 months of age. Poor visual outcomes following late surgery appear to be due primarily to the development of amblyopia during the first months of life, which may aggravate compliance problems and further deteriorate prospects of visual rehabilitation.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D010349 Patient Compliance Voluntary cooperation of the patient in following a prescribed regimen. Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D011182 Postoperative Care The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed) Care, Postoperative,Postoperative Procedures,Procedures, Postoperative,Postoperative Procedure,Procedure, Postoperative
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D002387 Cataract Extraction The removal of a cataractous CRYSTALLINE LENS from the eye. Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D003262 Contact Lenses, Extended-Wear Hydrophilic contact lenses worn for an extended period or permanently. Contact Lens, Extended-Wear,Contact Lens, Extended Wear,Contact Lenses, Extended Wear,Extended-Wear Contact Lens,Extended-Wear Contact Lenses,Lens, Extended-Wear Contact,Lenses, Extended-Wear Contact
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age

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