You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 126 No. 8, August 2008 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Sciences
 This Article
 •Full text
 •PDF
 • Reply to article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Related article
 •Similar articles in this journal
 Topic Collections
 •Cataracts/ Lens
 •Pediatric Ophthalmology
 •Ophthalmological Procedures, Other
 •Pediatrics
 •Neonatology and Infant Care
 •Pediatrics, Other
 •Prognosis/ Outcomes
 •Alert me on articles by topic
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Visual Outcome Following the Reduction or Cessation of Patching Therapy After Early Unilateral Cataract Surgery

Scott R. Lambert, MD; David A. Plager, MD; Michael J. Lynn, MS; M. Edward Wilson, MD

Arch Ophthalmol. 2008;126(8):1071-1074.

Objective  To evaluate the impact on visual acuity of reducing or abandoning patching therapy during the first 6 years of life following early unilateral cataract surgery.

Methods  We reviewed the medical records of 9 children with unilateral congenital cataracts who underwent cataract surgery when 6 weeks or younger. All had good compliance with optical correction until 6 years of age and with patching therapy until at least 12 months of age.

Results  The children underwent cataract surgery at a mean (SD) age of 21.7 (9.5) days. At 12 months of age, the children were patched a mean (SD) of 6.7 (2.4) hours/d. Patching compliance declined steadily thereafter. By 6 years of age, they were only being patched a mean (SD) of 1.7 (2.0) hours/d. Four of the 9 children abandoned patching prior to the 6-year examination. Acuities improved or remained the same for 3 of these children but worsened for 1 child by 2 lines.

Conclusion  Our study suggests that some children who undergo early unilateral cataract surgery and are compliant with their optical correction and patching during early childhood can maintain a good visual outcome even if patching therapy is reduced or discontinued prior to their sixth birthday.


Author Affiliations: Emory Eye Center (Dr Lambert) and Rollins School of Public Health, Emory University (Mr Lynn), Atlanta, Georgia; Indiana University Medical Center, Indianapolis (Dr Plager); and Storm Eye Institute, Charleston, South Carolina (Dr Wilson).



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

RELATED ARTICLE

A Randomized Trial of Atropine vs Patching for Treatment of Moderate Amblyopia: Follow-up at Age 10 Years
Pediatric Eye Disease Investigator Group
Arch Ophthalmol. 2008;126(8):1039-1044.
ABSTRACT | FULL TEXT  


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Infant Aphakia Treatment Study: Design and Clinical Measures at Enrollment
The Infant Aphakia Treatment Study Group
Arch Ophthalmol 2010;128:21-27.
ABSTRACT | FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2008 American Medical Association. All Rights Reserved.