{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:41:14Z","timestamp":1782297674857,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report on the occurrence of postoperative visual axis opacification (VAO) in children younger than 5\u2009years of age operated for cataract in Sweden, and to analyse correlations with age at surgery and surgical method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were derived from the Swedish Pediatric Cataract Register (PECARE). All children operated on between 1 January 2007 and 31 December 2020 were included. Follow\u2010ups at 1, 2 and 5\u2009years of age were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cataract surgery were performed on 770 eyes belonging to 549 children (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009282 boys, 51.4%); 327\/770 (42.5%) of the children underwent surgery before 3\u2009months of age and 216\/770 (28%) before 6\u2009weeks of age. Data on 881 follow\u2010up visits were registered. At the follow up\u2010visits at 1, 2 and 5\u2009years of age, VAO was present in 154\/349 (44.1%), 41\/323 (12.7%) and 25\/208 (12%). The majority of the children with VAO underwent cataract surgery before age 6\u2009months, with a predominance before age 2\u2009months. Primary IOL was implanted in 601\/770 (78%) of eyes; 40.8% had an acrylic one\u2010piece lens, 31.8% had a bag\u2010in\u2010the\u2010lens IOL, 21.9% were aphakic and 5.2% had an acrylic three\u2010piece lens. Implantation of a bag\u2010in\u2010the\u2010lens IOL was related to a significantly lower occurrence of VAO compared to other types of IOL, including aphakia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our results are in accordance with the literature. Primary bag\u2010in\u2010the\u2010lens IOL implantation before 2\u2009years of age seems adequate and safe, with a low occurrence of VAO, and can thus be continued as routine in Sweden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.16630","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T06:24:59Z","timestamp":1705904699000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The prevalence of visual axis opacification in the Swedish Pediatric Cataract Register"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0170-3798","authenticated-orcid":false,"given":"Gunilla","family":"Magnusson","sequence":"first","affiliation":[{"name":"Region V\u00e4stra G\u00f6taland, Department of Ophthalmology Sahlgrenska University Hospital  M\u00f6lndal Sweden"},{"name":"Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6003-3352","authenticated-orcid":false,"given":"Jenny","family":"Gyll\u00e9n","sequence":"additional","affiliation":[{"name":"Region V\u00e4stra G\u00f6taland, Department of Ophthalmology Sahlgrenska University Hospital  M\u00f6lndal Sweden"},{"name":"Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte","family":"Haargaard","sequence":"additional","affiliation":[{"name":"Private Ophthalmologist  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5745-4703","authenticated-orcid":false,"given":"Alf","family":"Nystr\u00f6m","sequence":"additional","affiliation":[{"name":"Region V\u00e4stra G\u00f6taland, Department of Ophthalmology Sahlgrenska University Hospital  M\u00f6lndal Sweden"},{"name":"Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Rosensv\u00e4rd","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology and Vision, Department of Clinical Neuroscience Karolinska Institute, St Erik Eye Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Scurei","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology and Vision, Department of Clinical Neuroscience Karolinska Institute, St Erik Eye Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrika","family":"Kjellstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Ophthalmology Sk\u00e5ne 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