Evidence map›Paper›PMID 39736361›Full record

ArticleOphthalmology2025

Early Patching Behaviors That Improve the Chances of Good Visual Acuity in Children Treated for Unilateral Congenital Cataract.

Carolyn Drews-Botsch, E Eugenie Hartmann, Marianne Celano, Jaffer Zaidi, Scott R Lambert

Abstract read
In one paragraph

Article in Ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Update on pediatric cataract surgery.Asia-Pacific journal of ophthalmology (Philadelphia, Pa.)
    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

5 authors.

Carolyn Drews-BotschDepartment of Global and Community Health, George Mason University, Fairfax, Virginia. Electronic address: cdrewsbo@gmu.edu.
E Eugenie HartmannVision Center and Rebecca D. Considine Research Institute, Akron Children's Hospital, Akron, Ohio.
Marianne CelanoDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Jaffer ZaidiDepartment of Global and Community Health, George Mason University, Fairfax, Virginia.
Scott R LambertDepartment of Ophthalmology, Stanford University, Palo Alto, California.

Funding

Infant Aphakia Treatment StudyU10EY013272 · NEI · EMORY UNIVERSITY · PI LAMBERT, SCOTT R · 2004 to 2014
$8.1M
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
Infant Aphakia Treatment Study-Chairman's GrantUG1EY013272 · NEI · STANFORD UNIVERSITY · PI LAMBERT, SCOTT R · 2015 to 2018
$639k
Secondary Analyses of data from the Infant Aphakia Treatment Study: Patching in Children with Unilateral Congenital Cataracts and Poor Visual AcuityR21EY032152 · NEI · GEORGE MASON UNIVERSITY · PI CELANO, MARIANNE, DREWS-BOTSCH, CAROLYN DAWSON · 2022 to 2023
$458k
NEI NIH HHS R21 EY032152NEI NIH HHS U10 EY013272NEI NIH HHS U10 EY013287NEI NIH HHS UG1 EY013272NEI NIH HHS UG1 EY025553
6 · The paper itself

Abstract

purposeAchieving near normal vision after unilateral congenital cataract (UCC) surgery is possible but requires early surgery, optical correction, and consistent patching. Patching is often challenging for children and their caregivers. The goal of these analyses is to examine the association between reported consistency in patching during the first year after surgery and visual acuity (VA).

designData from the Infant Aphakia Treatment Study (IATS) are used in a cohort design.

participantsA total of 101 children whose caregivers completed a prospective, 7-day patching diary 2 months after surgery or at 13 months of age.

methodsConsistent patching was defined as patching every day and either an average patch start time before 9:00 am or the interquartile range of the first time a patch was applied of 60 minutes or less.

main outcome measuresRecognition VA was assessed at ages 54+ 1 months and 10.5 years. Near normal VA was defined as VA of 20/40 or better.

resultsDiary data were available for 101 children. Overall, 55% of children whose caregivers reported consistent patching at age 13 months had near normal vision at age 54 + 1 months and 45% had near normal vision at age 10.5 years compared with 14% and 19%, respectively, when caregivers reported less consistent patching (adjusted relative risk at 54 months of age 3.55, 95% confidence interval [CI], 1.61-7.80; adjusted relative risk at 10.5 years of age 2.31, 95% CI, 1.12-4.78).

conclusionsConsistent patching in the first year after surgery for UCC is associated with better VA. These findings can be used to provide evidence-based guidance to caregivers to help improve VA outcomes for their children. FINANCIAL DISCLOSURE(S): The author(s) have no proprietary or commercial interest in any materials discussed in this article.

Indexed as

Aphakia, PostcataractCataractCataract ExtractionSensory DeprivationVisual AcuityCaregiversChildChild, PreschoolFemaleHumansInfantMaleProspective StudiesHabit formationPatchingUnilateral congenital cataractVisual acuity

Identifiers

PMID39736361
PMCPMC12018136

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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.