Evidence map›Paper›PMID 29369235›Full record

ArticleEye & contact lens2018

Global Practice Patterns in the Management of Infantile Cataracts.

Euna B Koo, Deborah K VanderVeen, Scott R Lambert

Registry-linked trialAbstract read
In one paragraph

Article in Eye & contact lens, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00212134 (Infant Aphakia Treatment Study), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00212134 nacompletednot on this map

Infant Aphakia Treatment Study (IATS)

TypeinterventionalSponsorStanford UniversityRan2004 to 2020Enrolled114ConditionsCongenital CataractArmsContact lens correction of aphakia, Intraocular lens implantation
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. What we have learned from the Infant Aphakia Treatment Study: The 49th Annual Frank D. Costenbader Lecture.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2023
    Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Euna B KooDepartment of Ophthalmology (E.B.K., S.R.L.), Stanford University School of Medicine, Stanford, CA; and Pediatric Ophthalmology (D.K.V.), Boston Children's Hospital, Harvard Medical School, Boston, MA.
Deborah K VanderVeen
Scott R Lambert
Boston Children's Hospital · USPrevent Blindness · USResearch to Prevent Blindness · US

Funding

Infant Aphakia Treatment StudyU10EY013272 · NEI · EMORY UNIVERSITY · PI LAMBERT, SCOTT R · 2004 to 2014
$8.1M
Stanford Vision Research CoreP30EY026877 · NEI · STANFORD UNIVERSITY · PI Jeffrey L Goldberg · 2017 to 2026
$8.0M
Coordinating Center for Infant Aphakia Treatment Study (IATS)U10EY013287 · NEI · EMORY UNIVERSITY · PI LONG, QI · 2004 to 2014
$5.8M
Infant Aphakia Treatment Study-Clinical CentersUG1EY025553 · NEI · EMORY UNIVERSITY · PI DREWS-BOTSCH, CAROLYN DAWSON · 2015 to 2018
$933k
Coordinating Center for Infant Aphakia Treatment Study (IATS)UG1EY013287 · NEI · EMORY UNIVERSITY · PI NIZAM, AZHAR · 2015 to 2018
$917k
Infant Aphakia Treatment Study-Chairman's GrantUG1EY013272 · NEI · STANFORD UNIVERSITY · PI LAMBERT, SCOTT R · 2015 to 2018
$639k
NEI NIH HHS P30 EY026877NEI NIH HHS U10 EY013272NEI NIH HHS U10 EY013287NEI NIH HHS UG1 EY013272NEI NIH HHS UG1 EY013287NEI NIH HHS UG1 EY025553
6 · The paper itself

Abstract

objectivesSurveys are an important tool to assess the impact of research on physicians' approach to patient care. This survey was conducted to assess current practice patterns in the management of infantile cataracts in light of the findings of the Infant Aphakia Treatment Study.

methodsPediatric ophthalmologists were emailed a link to the survey using newsletters from American Association of Pediatric Ophthalmology and Strabismus, World Society of Pediatric Ophthalmology and Strabismus, and the Pediatric Listserv. The 17-question survey was anonymous and active during July to August 2016.

resultsOne hundred twenty-five respondents (North America, 65%; Asia, 12%; Europe, 9%; and other, 14%) reported operating on pediatric cataracts. Most practice in a university setting (55%). There was a strong consensus that unilateral cataract surgery should be performed between ages 4 to 6 weeks and aphakic contact lenses should be used to optically correct their eyes, particularly in children ≤6 months of age. For bilateral cataracts, there was a trend for surgeons to perform cataract surgery at an older age than unilateral cataract surgery. Surgeons who performed less than 5 versus greater than 20 pediatric cataract surgeries/year were more likely to use aphakic contact lenses in children undergoing cataract surgery more than 6 months of age (62% vs. 35%, P=0.04). Most respondents (73%) indicated that the Infant Aphakia Treatment Study had changed how they manage unilateral congenital cataracts.

conclusionMost pediatric cataract surgeons perform congenital cataract surgery between ages 4 to 6 weeks and use aphakic contact lenses for initial optical correction in infants less than 6 months. Surgeons have equal preference for intraocular lenses and contact lenses in infants more than 6 months of age.

Indexed as

Lenses, IntraocularAphakia, PostcataractCataract ExtractionChildChild, PreschoolFemaleGlobal HealthHumansLens Implantation, IntraocularMalePediatricsPractice Patterns, Physicians'

Identifiers

PMID29369235
PMCPMC6046272
OpenAlexW2792801141

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.