Evidence map›Paper›PMID 38062153›Full record

ArticleScientific reports2023

Long-term surgical outcomes of pediatric cataract-multivariate analysis of prognostic factors.

Tetsuro Oshika, Takao Endo, Daijiro Kurosaka, Naoko Matsuki, Mai Miyagi, Takafumi Mori, Toshiyuki Nagamoto, Kazuno Negishi, Sachiko Nishina, Koji Nomura and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 11 institutions in 1 country.

Tetsuro OshikaDepartment of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan. oshika@eye.ac.
Takao EndoOsaka Women's and Children's Hospital, Osaka, Japan.
Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, Japan.
Naoko MatsukiDepartment of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan.
Mai MiyagiAichi Children's Health and Medical Center, Aichi, Japan.
Takafumi MoriDepartment of Ophthalmology, Fukushima Medical University, Fukushima, Japan.
Toshiyuki NagamotoNagamoto Eye Clinic, Tokyo, Japan.
Kazuno NegishiDepartment of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Sachiko NishinaNational Center for Child Health and Development, Tokyo, Japan.
Koji NomuraHyogo Prefectural Kobe Children's Hospital, Hyogo, Japan.
Noriyuki UnokiOsaka City General Hospital, Osaka, Japan.
Shigeo YoshidaDepartment of Ophthalmology, Kurume University School of Medicine, Fukuoka, Japan.
Fukushima Medical University · JPIwate Medical University · JPKeio University · JPKobe Children's Hospital · JPKurume University · JPKyorin University · JPMinamiaoyama Eye Clinic · JPNational Center For Child Health and Development · JPOsaka City General Hospital · JPOsaka Women's and Children's Hospital · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed the 10-year postoperative outcomes of pediatric cataract patients who underwent surgery at the age of 6 years or younger. A retrospective review of medical charts was conducted for 457 eyes of 277 patients, with the age at surgery averaging 1.3 ± 1.5 years (mean ± SD) and the follow-up duration averaging 12.8 ± 2.4 years (ranging from 10 to 17 years). The cohort included 250 eyes of 125 cases with bilateral aphakia (age at surgery 0.5 ± 0.8 years), 110 eyes of 55 cases with bilateral pseudophakia (1.9 ± 1.6 years), 42 cases with unilateral aphakia (1.1 ± 1.3 years), and 55 cases with unilateral pseudophakia (2.6 ± 1.7). A forward stepwise multiple regression analysis revealed that the best-corrected visual acuity at the final visit was significantly associated with laterality of cataract (with bilateral cases showing better results compared to unilateral cases), presence of systemic comorbidities, presence of ocular comorbidities, development of glaucoma, and phakic status (with better results in the pseudophakia group than the aphakia group). The age at surgery did not significantly affect visual acuity outcomes. A multiple logistic regression analysis demonstrated that the incidence of secondary glaucoma was significantly linked to younger age at surgery, phakic status (higher in aphakic than pseudophakic eyes), and presence of systemic comorbidities. In conclusion, after pediatric cataract surgery, final visual acuity was better in patients with bilateral cataracts, those treated with an intraocular lens, and cases without systemic or ocular comorbidities and secondary glaucoma. The development of secondary glaucoma was linked to younger age at surgery, aphakic status, and presence of systemic comorbidities.

Indexed as

Aphakia, PostcataractCataractCataract ExtractionGlaucomaChildFollow-Up StudiesHumansInfantLens Implantation, IntraocularMultivariate AnalysisPrognosisPseudophakiaRetrospective StudiesTreatment Outcome

Identifiers

PMID38062153
PMCPMC10703864
OpenAlexW4389484506

What OpenQuestion holds

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Registered trials

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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.