Factors Associated with Retinal Detachment after Pediatric Cataract Surgery in the IRIS® Registry.
Persistent fetal vasculature linked to over 3-fold higher risk of retinal detachment after cataract surgery
Factors Associated with Retinal Detachment after Pediatric Cataract Surgery in the IRIS® Registry.
This study leverages the American Academy of Ophthalmology's IRIS® Registry (Intelligent Research in Sight) to identify factors associated with retinal detachment (retinal detachment) after pediatric cataract surgery.
All children (age < 18 years) who underwent cataract surgery between January 2013 and December 2020 at practices that participate in the IRIS Registry.
in babies born with this eye condition, detachment risk was much higher
Seven thousand four hundred seven children (53% male, 49% White non-Hispanic) were identified and included.
The cumulative incidence of retinal detachment diagnosis and repair after cataract surgery was 3.8% (95% CI, 3.1%-4.5%) and 1.6% (95% CI, 1.2%-2.0%), respectively.
Similar risk factors were identified for retinal detachment requiring surgical repair.
Among children undergoing cataract surgery in the IRIS Registry, retinal detachment was associated with a history of ocular trauma, aphakia, premature retina, persistent fetal vasculature, and Hispanic ethnicity.
Identifying risk factors for complications after cataract surgery is essential to guide preoperative decision-making and long-term monitoring to mitigate retinal detachment risk in vulnerable patients.
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