Visual outcomes after surgery for childhood cataracts
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Visual outcomes after surgery for childhood cataracts. / Hansen, Mathias Møller; Bach-Holm, Daniella; Kessel, Line.
In: Acta Ophthalmologica, Vol. 98, No. 6, 2020, p. 579-584.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Visual outcomes after surgery for childhood cataracts
AU - Hansen, Mathias Møller
AU - Bach-Holm, Daniella
AU - Kessel, Line
PY - 2020
Y1 - 2020
N2 - Purpose: To describe long-term objective and subjective visual outcomes in a group of Danish children after cataract surgery. Methods: Follow-up examination of 56 children aged 7–18 years who had undergone uni- or bilateral cataract surgery. Subjective visual function was assessed using the Cardiff Visual Ability Questionnaire for Children (CVAQC) and compared to objective visual acuity for distance and near, contrast vision and stereopsis. Results: Better visual acuity on the better seeing and contrast vision on worst seeing eye were significant predictors of increased subjective visual function in a multivariate analysis, p = 0.024. Children in the unilateral group had a significantly better CVAQC ratio compared to children in the bilateral group, median of 0.88 (range 0.50–1.00) versus 0.80 (range 0.55–0.98), p = 0.027. Reading small print, playing ball games and seeing friends in the playground were the most difficult CVAQC items in the unilateral group and reading small print, seeing the board in the classroom and seeing friends in the playground were the most difficult in the bilateral group. Conclusion: Children with unilateral disease often have a healthy eye to support the operated eye, why they overall have better subjective visual function. Many of the most difficult visual tasks were related to academic activities which might hamper future academical capabilities.
AB - Purpose: To describe long-term objective and subjective visual outcomes in a group of Danish children after cataract surgery. Methods: Follow-up examination of 56 children aged 7–18 years who had undergone uni- or bilateral cataract surgery. Subjective visual function was assessed using the Cardiff Visual Ability Questionnaire for Children (CVAQC) and compared to objective visual acuity for distance and near, contrast vision and stereopsis. Results: Better visual acuity on the better seeing and contrast vision on worst seeing eye were significant predictors of increased subjective visual function in a multivariate analysis, p = 0.024. Children in the unilateral group had a significantly better CVAQC ratio compared to children in the bilateral group, median of 0.88 (range 0.50–1.00) versus 0.80 (range 0.55–0.98), p = 0.027. Reading small print, playing ball games and seeing friends in the playground were the most difficult CVAQC items in the unilateral group and reading small print, seeing the board in the classroom and seeing friends in the playground were the most difficult in the bilateral group. Conclusion: Children with unilateral disease often have a healthy eye to support the operated eye, why they overall have better subjective visual function. Many of the most difficult visual tasks were related to academic activities which might hamper future academical capabilities.
KW - congenital cataract
KW - CVAQC
KW - HOTV
KW - juvenile cataract
KW - subjective visual function
KW - surgery outcomes
U2 - 10.1111/aos.14403
DO - 10.1111/aos.14403
M3 - Journal article
C2 - 32180359
AN - SCOPUS:85081747018
VL - 98
SP - 579
EP - 584
JO - Acta Ophthalmologica
JF - Acta Ophthalmologica
SN - 1755-375X
IS - 6
ER -
ID: 250388604