PMID- 28017486 OWN - NLM STAT- MEDLINE DCOM- 20180503 LR - 20180503 IS - 1989-7286 (Electronic) IS - 0365-6691 (Linking) VI - 92 IP - 4 DP - 2017 Apr TI - Outcomes and complications after phacoemulsification in retinoblastoma patients with cataract after radiation treatment. PG - 160-165 LID - S0365-6691(16)30240-4 [pii] LID - 10.1016/j.oftal.2016.11.011 [doi] AB - PURPOSE: To describe the visual outcome and complications associated with phacoemulsification in patients with bilateral retinoblastoma (Rb), with lens opacification secondary to external beam radiotherapy. METHODS: A descriptive study was performed on patients with Rb, treated in Federico Gomez Children's Hospital, Mexico, from January 1997 to August 2015, with external beam radiotherapy eye salvaging. Statistical analysis was performed using Stata 10. RESULTS: A total of 15 patients were included. The mean age at phacoemulsification was 7.5 years. Mean preoperative visual acuity was 1.0LogMAR (range 0.4-1.6), and the mean postoperative visual acuity was 0.7LogMAR (range 0.1-1.6). Twelve patients had visual improvement (P<.05). The visual acuity decreased in one patient with vitreous haemorrhage and secondary glaucoma, and 2 patients with exudative maculopathy secondary to radiation. Mean follow up was 46 months and not a single patient showed tumour re-activation. CONCLUSIONS: Cataract surgery produces a statistically significant improvement in visual acuity. These patients have increased risk for eye complications in the mid- and long-term. It is important to conduct a close follow up due to reactivation of tumour. CI - Copyright (c) 2016 Sociedad Espanola de Oftalmologia. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Velasquez-Aguilar, M AU - Velasquez-Aguilar M AD - Servicio de Oftalmologia, Hospital Infantil de Mexico Federico Gomez, Ciudad de Mexico, Mexico. FAU - Matiz-Moreno, H AU - Matiz-Moreno H AD - Instituto Oftalmologico Conde de Valenciana, Ciudad de Mexico, Mexico. FAU - Amato-Almanza, M AU - Amato-Almanza M AD - Servicio de Oftalmologia, Hospital Infantil de Mexico Federico Gomez, Ciudad de Mexico, Mexico. FAU - Chen-Lopez, C Y AU - Chen-Lopez CY AD - Instituto Oftalmologico Conde de Valenciana, Ciudad de Mexico, Mexico. FAU - Marquez-Garcia, G AU - Marquez-Garcia G AD - Instituto Oftalmologico Conde de Valenciana, Ciudad de Mexico, Mexico. FAU - Ramirez-Ortiz, M A AU - Ramirez-Ortiz MA AD - Servicio de Oftalmologia, Hospital Infantil de Mexico Federico Gomez, Ciudad de Mexico, Mexico. Electronic address: marco@unam.mx. LA - eng LA - spa PT - Journal Article TT - Facoemulsificacion en pacientes con retinoblastoma y catarata por radioterapia: resultados y complicaciones. DEP - 20161223 PL - Spain TA - Arch Soc Esp Oftalmol JT - Archivos de la Sociedad Espanola de Oftalmologia JID - 1304603 SB - IM MH - Cataract/*etiology MH - Cataract Extraction/*adverse effects MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Male MH - Phacoemulsification/*adverse effects MH - Postoperative Complications/*etiology MH - Radiation Injuries/*etiology MH - Retinal Neoplasms/*radiotherapy/*surgery MH - Retinoblastoma/*radiotherapy/*surgery MH - Treatment Outcome OTO - NOTNLM OT - Alteraciones inducidas por radioterapia OT - Cataract OT - Catarata OT - Facoemulsificacion OT - Phacoemulsification OT - Radiation-induced abnormalities OT - Retinoblastoma EDAT- 2016/12/27 06:00 MHDA- 2018/05/04 06:00 CRDT- 2016/12/27 06:00 PHST- 2016/07/19 00:00 [received] PHST- 2016/11/18 00:00 [revised] PHST- 2016/11/21 00:00 [accepted] PHST- 2016/12/27 06:00 [pubmed] PHST- 2018/05/04 06:00 [medline] PHST- 2016/12/27 06:00 [entrez] AID - S0365-6691(16)30240-4 [pii] AID - 10.1016/j.oftal.2016.11.011 [doi] PST - ppublish SO - Arch Soc Esp Oftalmol. 2017 Apr;92(4):160-165. doi: 10.1016/j.oftal.2016.11.011. Epub 2016 Dec 23.