Objective:

To evaluate long-term visual outcomes of congenital cataract surgery in infants with microcornea.

Approach:

Key Findings:

• Bilateral pseudophakic eyes achieved significantly better corrected distance visual acuity (CDVA) compared to bilateral aphakic eyes.
• 88% of bilateral pseudophakic eyes achieved 20/40 vision or better, versus 39% in bilateral aphakic eyes.
• Secondary glaucoma developed in 18.8% of aphakic eyes, while no pseudophakic eyes developed glaucoma during follow-up.
• All groups experienced substantial myopic shifts over time.
• Postoperative glaucoma and visual axis opacification remain significant management challenges.

Interpretation:

The study highlights the need for careful management of complications and refractive changes in infants with microcornea.

Limitations:

• Retrospective design and relatively small subgroup sizes limit definitive conclusions.
• Selection bias may have influenced outcomes as only patients with at least 10 years of follow-up were included.

Conclusion:

The findings provide long-term insight into managing cataracts in microcornea and support the feasibility of primary IOL implantation.

Sources:

• Scientific Reports
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