Abstract
Purpose
To evaluate the clinical characteristics of strabismus in children undergoing bilateral cataract surgery.
Methods
We retrospectively reviewed the medical records of 56 children undergoing bilateral cataract surgery who had no evidence of strabismus before the surgery and a difference of less than two Snellen lines in postoperative best-corrected visual acuity between the two eyes.
Results
Strabismus developed in 31 (55.4%) patients after cataract extraction. Age at the time of cataract diagnosis (P = 0.006) and extraction (P = 0.025) was significantly lower in the strabismus group than in the no-strabismus group. Exotropia (45.2%) was the prevalent type of strabismus, followed by esotropia (35.5%). Patients with cataracts extracted within the first 12 months of life comprised 51.6% of the strabismus group and 20% of the no-strabismus group (P = 0.026). Strabismus surgery was performed in 11 patients. In five aphakic patients with strabismus, the angle of deviation decreased significantly after secondary intraocular lens implantation, and strabismus surgery was not required.
Conclusion
Strabismus is a frequent complication following bilateral cataract surgery in childhood. Children undergoing bilateral cataract surgery, especially at an early age, should be followed carefully for the development of strabismus.
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Park, S.H., Na, J.H. & Shin, S.Y. Strabismus following bilateral cataract surgery in childhood. Jpn J Ophthalmol 54, 272–277 (2010). https://doi.org/10.1007/s10384-010-0806-0
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DOI: https://doi.org/10.1007/s10384-010-0806-0