Combined Cataract and Vitrectomy Surgery in Pediatric Patients
<i>Purpose:</i> To review the current literature on the combined use of cataract surgery (or lensectomy) and vitrectomy in pediatric patients, with a focus on clinical indications, surgical techniques, outcomes, and complications across various pediatric ocular pathologies. <i>Meth...
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2025-06-01
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| author | Armando J. Ruiz-Justiz Vanessa Cruz-Villegas Stephen G. Schwartz Victor M. Villegas Timothy G. Murray |
| author_facet | Armando J. Ruiz-Justiz Vanessa Cruz-Villegas Stephen G. Schwartz Victor M. Villegas Timothy G. Murray |
| author_sort | Armando J. Ruiz-Justiz |
| collection | DOAJ |
| description | <i>Purpose:</i> To review the current literature on the combined use of cataract surgery (or lensectomy) and vitrectomy in pediatric patients, with a focus on clinical indications, surgical techniques, outcomes, and complications across various pediatric ocular pathologies. <i>Methods:</i> A narrative review of published studies addressing the use of combined lensectomy and vitrectomy (LV) in pediatric patients was conducted. Conditions discussed include congenital cataracts, ectopia lentis, retinopathy of prematurity (ROP), retinal detachment (RD), and persistent fetal vasculature (PFV). Key surgical considerations, visual and anatomical outcomes, and postoperative complications were examined. <i>Results:</i> The literature search yielded a total of 160 articles, of which 43 met the inclusion criteria and were included in this review. Although lens-sparing vitrectomy (LSV) is preferred in many pediatric cases to preserve accommodation and reduce complications, combined LV is often necessary in advanced or complex diseases. Studies have shown that combined LV can achieve favorable anatomical outcomes, but functional visual recovery remains variable and is affected by factors such as patient age, baseline ocular anatomy, and disease severity. Postoperative complications such as glaucoma, visual axis opacification (VAO), and intraocular lens (IOL) dislocation are more frequent with combined procedures and require long-term follow-up and rehabilitation. <i>Conclusions:</i> Combined cataract surgery (or lensectomy) and vitrectomy may represent a valuable strategy in the management of complex pediatric ocular conditions, particularly when individualized to the clinical context. Tailored surgical approaches are essential to optimize anatomic and functional outcomes. Further prospective studies and harmonized multicenter registries are needed to develop evidence-based principles that can guide individualized surgical decision-making in this unique patient population. |
| format | Article |
| id | doaj-art-6ea6f413cbfb4f4bbd4e8ef83cc1fd85 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-6ea6f413cbfb4f4bbd4e8ef83cc1fd852025-08-20T03:35:38ZengMDPI AGMedicina1010-660X1648-91442025-06-01617117610.3390/medicina61071176Combined Cataract and Vitrectomy Surgery in Pediatric PatientsArmando J. Ruiz-Justiz0Vanessa Cruz-Villegas1Stephen G. Schwartz2Victor M. Villegas3Timothy G. Murray4Department of Ophthalmology, University of Puerto Rico School of Medicine, San Juan, PR 00936, USADepartment of Ophthalmology, University of Puerto Rico School of Medicine, San Juan, PR 00936, USADepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Ophthalmology, University of Puerto Rico School of Medicine, San Juan, PR 00936, USAMiami Ocular Oncology & Retina (MOOR), Miami, FL 33143, USA<i>Purpose:</i> To review the current literature on the combined use of cataract surgery (or lensectomy) and vitrectomy in pediatric patients, with a focus on clinical indications, surgical techniques, outcomes, and complications across various pediatric ocular pathologies. <i>Methods:</i> A narrative review of published studies addressing the use of combined lensectomy and vitrectomy (LV) in pediatric patients was conducted. Conditions discussed include congenital cataracts, ectopia lentis, retinopathy of prematurity (ROP), retinal detachment (RD), and persistent fetal vasculature (PFV). Key surgical considerations, visual and anatomical outcomes, and postoperative complications were examined. <i>Results:</i> The literature search yielded a total of 160 articles, of which 43 met the inclusion criteria and were included in this review. Although lens-sparing vitrectomy (LSV) is preferred in many pediatric cases to preserve accommodation and reduce complications, combined LV is often necessary in advanced or complex diseases. Studies have shown that combined LV can achieve favorable anatomical outcomes, but functional visual recovery remains variable and is affected by factors such as patient age, baseline ocular anatomy, and disease severity. Postoperative complications such as glaucoma, visual axis opacification (VAO), and intraocular lens (IOL) dislocation are more frequent with combined procedures and require long-term follow-up and rehabilitation. <i>Conclusions:</i> Combined cataract surgery (or lensectomy) and vitrectomy may represent a valuable strategy in the management of complex pediatric ocular conditions, particularly when individualized to the clinical context. Tailored surgical approaches are essential to optimize anatomic and functional outcomes. Further prospective studies and harmonized multicenter registries are needed to develop evidence-based principles that can guide individualized surgical decision-making in this unique patient population.https://www.mdpi.com/1648-9144/61/7/1176lensectomy-vitrectomycongenital cataractsectopia lentisretinopathy of prematurityretinal detachmentpersistent fetal vasculature |
| spellingShingle | Armando J. Ruiz-Justiz Vanessa Cruz-Villegas Stephen G. Schwartz Victor M. Villegas Timothy G. Murray Combined Cataract and Vitrectomy Surgery in Pediatric Patients Medicina lensectomy-vitrectomy congenital cataracts ectopia lentis retinopathy of prematurity retinal detachment persistent fetal vasculature |
| title | Combined Cataract and Vitrectomy Surgery in Pediatric Patients |
| title_full | Combined Cataract and Vitrectomy Surgery in Pediatric Patients |
| title_fullStr | Combined Cataract and Vitrectomy Surgery in Pediatric Patients |
| title_full_unstemmed | Combined Cataract and Vitrectomy Surgery in Pediatric Patients |
| title_short | Combined Cataract and Vitrectomy Surgery in Pediatric Patients |
| title_sort | combined cataract and vitrectomy surgery in pediatric patients |
| topic | lensectomy-vitrectomy congenital cataracts ectopia lentis retinopathy of prematurity retinal detachment persistent fetal vasculature |
| url | https://www.mdpi.com/1648-9144/61/7/1176 |
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