{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:29:11Z","timestamp":1777580951539,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,7,30]],"date-time":"2018-07-30T00:00:00Z","timestamp":1532908800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe the outcome of phacoaspiration with intraocular lens implantation in children with unilateral congenital cataract in the first 4\u2009years of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review of children with visually significant unilateral congenital cataract presenting in the first 4\u2009years of life was done. Children with a minimum postsurgical follow-up of 1\u2009year were included. Outcome measures were mean spherical equivalent, visual axis clarity, visual acuity and complications till the last follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-three children met the inclusion criteria. The mean age of surgery was 13.23\u2009\u00b1\u200911.89\u2009months and the mean follow-up period was 24.37\u2009\u00b1\u200917.35\u2009months. Nearly 40% of children presented during their first year of life. No difference was noted between the subgroups in terms of age ( p\u2009=\u20090.310), sex ( p\u2009=\u20090.475) or laterality ( p\u2009=\u20090.349). Surgical membranectomy was performed in 22 eyes (23.6%) after an average period of 4.85\u2009\u00b1\u20092.58\u2009months after surgery. One eye underwent piggy back intraocular lens and four eyes underwent intraocular lens exchange after a mean duration of 50\u2009months (range 40\u201360\u2009months). The mean visual acuity was 0.79\u2009\u00b1\u20090.11 (log MAR chart). A total of 60.7% of these children ( n\u2009=\u200931) achieved best corrected visual acuity or 20\/80 or better.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results of our study suggest that primary intraocular lens implantation in children with unilateral congenital cataract gives good structural and functional results. Besides a meticulous surgery, visual outcome is affected by the time of presentation and postoperative compliance to amblyopia therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672118790193","type":"journal-article","created":{"date-parts":[[2018,7,31]],"date-time":"2018-07-31T01:59:37Z","timestamp":1533002377000},"page":"304-308","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life"],"prefix":"10.1177","volume":"29","author":[{"given":"Sonam","family":"Yangzes","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Savleen","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parul Chawla","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manu","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitender","family":"Jinagal","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaspreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Postgraduate 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