Cataract Outcomes Research Articles

The patient-reported outcome of age-related cataract using Catquest-8SF questionnaire

AIM: To assess the patient-reported outcome of phacoemulsification with posterior chamber single focus foldable intraocular lens (SIOL) using the Chinese version of Catquest-8SF questionnaire (Catquest-8SF-CN), evaluate the applicability of Catquest-8SF scale in northern Chinese and its sensitivity to cataract surgery. METHODS: Prospective clinical case follow-up study. The patients were recruited from the Central Hospital of Tai’an and completed the Catquest-8SF questionnaire by face-to-face interviews before and 3mo after surgery at the hospital. RESULTS: A total of 120 cataract patients with median age 67.6y and 52.5% female completed the Catquest-8SF. The Cronbach’s α coefficient of the total scale, daily-activity sub-table and comprehensive-evaluation sub-table were 0.861, 0.853 and 0.748 respectively. There was a high level of consistency between two investigators. The cumulative contribution rate was 66.64% by using the principal component analysis and the maximum variance orthogonal rotation method. The preoperative score of the Catquest-8SF-CN had a significant negative correlation with preoperative binocular mean weighted visual acuity and age (P<0.05), while a significant positive correlation with education level (F=6.094, P<0.001). The patients without systemic comorbidities got higher score than those who with (P<0.05). Three months after surgery, 102 (85%) patients came for follow-up and completed the questionnaire. Significant improvement of visual acuity was observed in both binocular and monocular surgery groups (t=10.404, P<0.001). There was higher improvement in binocular weighted visual acuity of binocular surgery group than in monocular surgery group (t=-20.77, P<0.001). The postoperative score was significantly higher in both groups than before (P<0.001). There was a significant improvement in the total score after cataract surgery. The 94 patients (92.2%) were very satisfied or satisfied with the operation; 92 patients (90.2%) thought the surgery achieved their expectations, and they all felt satisfactory. The degree of satisfaction was significantly correlated with the improvement score of the scale and it was also correlated with their expectation of the surgery. CONCLUSION: The Chinese version of Catquest-8SF questionnaire is suitable for the age-related cataract population in northern China. It is highly responsive to cataract surgery and brief, so it may have the potential to become part of a routine clinical assessment for cataract surgery in China. The patient’s overall satisfaction is high, which illustrates that the medical service we provide matches the patient’s needs. The degree of satisfaction was significantly correlated with the improvement score of the scale and it was also correlated with their expectation of the surgery.

Visual Outcome of Pediatric Traumatic Cataract in Lumbini Eye Institute, Bhairahawa, Nepal.

There are not many studies of pediatric trauma in Nepal. Therefore, this study was conducted to find out the visual outcome of pediatric traumatic cataract and causes of poor visual acuity. In this hospital based prospective study, all children visiting the pediatric department of Lumbini Eye Institute and Research Center with traumatic cataract and visual outcome after surgery from July 2018 to August 2019 were evaluated. A total of 136 children ranging from age (0 months to 15 years) with traumatic cataract were included in the study. Data on age of presentation, sex and diagnosis were collected from clinical charts and analyzed. The study enrolled 136 cases with traumatic cataract. 72.1% male and 27.9% female patients were involved with the average age being 9.46 years (SD 2.95). Final visual acuity was better than 20/60 in 73 percent of the children. Visual acuity was poor in 27 percent of children. In children with poor visual acuity 44 percent of the patients had corneal opacity, 23 percent had retinal detachment and 18 percent had vitreous opacification secondary to trauma. Closed globe injury was seen in 72 percent of children and 28 percent had open globe injury. Male children were more prone to traumatic cataract than female children. Open globe injury with corneal laceration and opacity was the major cause of decreased visual acuity.

Study of different mode of traumatic catarach and its visual outcome after surgery

Ocular trauma being common reason for visual morbidity. This study helps to know the different mode of traumatic cataract and their visual outcome. A hospital based prospective study done in Department of ophthalmology of a medical college 30 cases of traumatic cataract excluding complicated cataract, congenital cataract etc. underwent detailed history and local examination with investigations. Data was analysed with regard to relationship between mode of trauma and final visual outcome achieved with surgical technique. Patients were followed-up at 1 week, 1 and 6 months and visual acuity was recorded. A 56.6 % sustained penetrating trauma while 43.2% got blunt trauma. In blunt trauma postoperative cases BCVA was 6/18-6/12 and penetrating trauma cases 6/60-6/18. A 35.2% patients had corneal opacity among penetrating injury which was most common cause for reduced visual acuity. This study provides data of different mode of Traumatic cataract and visual outcome depends on the type of injury and its presentation.

Comparative study of outcome of capsulorhexis by assisted capsulorhexis device versus manual capsulorhexis in cataract surgery

Cataract is the major cause of treatable blindness in India (62.6%). Quality cataract surgery is basic need of the cataract blind patient. Phacoemulsification and SICS are routine surgery performed for cataract in developing countries. Continuous Curvilinear Capsulorhexis is the most important pre-requisite for successful outcome of cataract surgery.To evaluate early outcome of assisted capsulorhexis versus manual capsulorhexis in cataract surgery. This descriptive observational study was carried out during January 2017 to October 2018 with purposive sampling of 100 cases.Mean age of the study population was 60±9.1 in which 84% patients had immature cataract, while 16% patients had mature cataract. The cases operated by phacoemulsification surgery using manual technique 76% had regular shape of CCC and with assisted technique 84% had regular shape of CCC. Among patients operated with SICS using manual technique, 16% cases had regular shape of CCC and with use of assisted capsulorhexis device, 80% had regular shaped CCC. A statistically significant association was found between assisted technique and centration of the CCC (p=0.00001). The assisted capsulorhexis device (VERUS) was found to be effective in achieving optimal size, circularity and centration of CCC during cataract surgery.

Influence of small molecules on the photo-stability of water soluble porcine lens proteins.

The eye lens is a biconvex structure composed of lens fibres, cells that lack of blood and nerve supply and of any organelle, allowing for a high concentration of water soluble proteins that determine the lens transparency and refractive index. The lens water soluble protein pool in mammals is composed of α-, β-, and γ-crystallins, the latter being involved in calcium homeostasis and having structural importance, the first playing a crucial role in preventing protein aggregation and the consequent lens obfuscation, which leads to the clinical outcome of cataract. Among different factors, oxidative stress, free radicals, and reactive oxygen species (ROSs) generated by the exposure to UV light are widely recognized to cause cataract formation. Taking advantage of synchrotron radiation circular dichroism, fluorescence, and circular dichroism spectroscopies, in the present study we investigate the influence of different small molecules with the potential to either quench ROS generation or to stabilize protein conformation. Therefore, ascorbic acid, an excellent antioxidant agent already present in the eye aqueous humour, has been tested along with ceftriaxone, mannitol and trehalose, which osmolyte activity was demonstrated interfering with model proteins misfolding. Our results showed that ascorbic acid strongly inhibits the ROS production without, however, preserving the native protein structure, whereas mannitol had no effect on the ROS production but retained better the secondary structure of WS proteins. Collectively, the use of a mixture of ascorbic acid and mannitol could be used to better protect eye lens proteins from ROS damage preventing the cataract onset.

Visual outcome of traumatic cataract at a tertiary eye care center

Background: Traumatic cataracts account for a large proportion of visual disability and blindness in the general population, especially in developing countries. It is associated with various ocular injuries. Aim and Objective: The aim of the study was to evaluate the visual outcome of patients with traumatic cataracts. Material and methods: A prospective study was done in the Department of Ophthalmology in Netaji Subhash Chandra Bose Medical College, Jabalpur (Madhya Pradesh). Materials and Methods: A total of 124 patients diagnosed as a case of traumatic cataract were subjected to a detailed history, systemic, and local examination with relevant investigations. Medical or surgical managements were done accordingly. Patients were subsequently followed up. Results: About 53.22% of patients sustained penetrating trauma while 41.93% got the blunt injury and 4.83% perforating injury. Out of total, 79.03% of patients were males, while 20.96% were females. The most common cause of blunt trauma was wooden stick (53.84%), whereas iron wire (31.81% patients) was the most common cause of penetrating injury. About 25% of patients had corneal opacity as associated ocular morbidity. About 54.83% of patients adopted small-incision cataract surgery with posterior chamber intraocular lens (IOL) procedure for traumatic cataract surgery. About 39.51% of patients had attained final best-corrected visual acuity (VA) of 6/9–6/18, and 32.25% patients of 6/24–6/60, while 28.22% of patients had vision

Surgical Outcome of Posterior Polar Cataract in Adults

Introduction: Posterior polar cataract (PPC) is a relatively uncommon form of congenital cataract accounting for around 0.5% to 2% of the total cataract. A posterior polar cataract presents a special challenge to the phaco surgeon because of its predisposition to posterior capsular dehiscence during surgery. Incidence of posterior polar cataract ranges from 3 to 5 in 1000. Methodology: Prospective descriptive study done at Biratnagar Eye Hospital from December 2016 to March 2017. A detailed slit-lamp biomicroscopy of the anterior segment, intraocular pressure and dilated fundus examination was performed in all patients after checking for visual acuity and refraction. Result: Total of 60 eyes of 59 patients was included in the study, out of which only 5% had posterior capsular rupture during surgery. Mean age of patients in our study was 49.35 +_ 9.5yrs (range 35-73yrs). There were 34 male patients and 26 female patients. Mean axial length was 23.40mm. Out of 60 eyes, 12 eyes had bilateral posterior polar cataract. Mean preoperative visual acuity was 0.949 while first post-operative day visual acuity was 0.5137, which was statistically significant (P < 0.0001) (paired t test). Conclusion: Intraoperative complications during posterior polar cataract surgery can be minimized by careful and appropriate surgical procedure.

Incidence, Risk Factors and Surgical Outcomes of Cataract among Patients with Vogt-Koyanagi-Harada Disease

ABSTRACT Purpose: To investigate risk factors and surgical outcomes of cataract in Vogt-Koyanagi-Harada (VKH) disease. Methods: Review of 187 patients (374 eyes). Results: At presentation, cataract was diagnosed in 56 (14.9%) eyes all had chronic recurrent VKH. During follow-up, cataract developed in additional 51 (13.6%) eyes. Fifteen (13.6%) of these had initial-onset acute VKH with anterior segment (AS) inflammation and 36 (19.4%) had chronic recurrent VKH. No patient with initial-onset acute VKH without AS inflammation developed cataract. Risk factors for cataract development during follow-up included female gender, keratic precipitates, anterior chamber reaction ≥2+, chronic recurrent VKH, posterior synechiae, iris nodules, glaucoma, glaucoma surgery, choroidal neovascular membrane, “sunset glow fundus” and chorioretinal atrophy. Thirty-two eyes underwent cataract extraction. Fourteen (43.8%) eyes achieved ≥20/40. Posterior segment complications of chronic recurrent VKH accounted for <20/40 outcome. Conclusions: Poor outcome after surgery is secondary to posterior segment complications of chronic recurrent VKH.

Automated extraction of ophthalmic surgery outcomes from the electronic health record

ObjectiveComprehensive analysis of ophthalmic surgical outcomes is often restricted by limited methodologies for efficiently and accurately extracting clinical information from electronic health record (EHR) systems because much is in free-text form. This study aims to utilize advanced methods to automate extraction of clinical concepts from the EHR free text to study visual acuity (VA), intraocular pressure (IOP), and medication outcomes of cataract and glaucoma surgeries. MethodsPatients who underwent cataract or glaucoma surgery at an academic medical center between 2009 and 2018 were identified by Current Procedural Terminology codes. Rule-based algorithms were developed and used on EHR clinical narrative text to extract intraocular lens (IOL) power and implant type, as well as to create a surgery laterality classifier. MedEx (version 1.3.7) was used on free-text clinical notes to extract information on eye medications and compared to information from medication orders. Random samples of free-text notes were reviewed by two independent masked annotators to assess inter-annotator agreement on outcome variable classification and accuracy of classifiers. VA and IOP were available from semi-structured fields. ResultsThis study cohort included 6347 unique patients, with 8550 stand-alone cataract surgeries, 451 combined cataract/glaucoma surgeries, and 961 glaucoma surgeries without concurrent cataract surgery. The rule-based laterality classifier achieved 100% accuracy compared to manual review of a sample of operative notes by independent masked annotators. For cataract surgery alone, glaucoma surgery alone, or combined cataract/glaucoma surgeries, our automated extraction algorithm achieved 99–100% accuracy compared to manual annotation of samples of notes from each group, including IOL model and IOL power for cataract surgeries, and glaucoma implant for glaucoma surgeries. For glaucoma medications, there was 90.7% inter-annotator agreement. After adjudication, 85.0% of medications identified by MedEx determined to be correct. Determination of surgical laterality enabled evaluation of pre- and postoperative VA and IOP for operative eyes. ConclusionThis text-processing pipeline can accurately capture surgical laterality and implant model usage from free-text operative notes of cataract and glaucoma surgeries, enabling extraction of clinical outcomes including visual acuities, intraocular pressure, and medications from the EHR system. Use of this approach with EHRs to assess ophthalmic surgical outcomes can benefit research groups interested in studying the safety and clinical efficacies of different surgical approaches.

Prognostic factors associated with poor visual outcome of traumatic pediatric cataract: a 10 years retrospective review

Prognostic factors associated with poor visual outcome of traumatic pediatric cataract: a 10 years retrospective review

Socio-Demographic Profile, Etiology and Visual Outcome of Traumatic Cataract in North–West Rajasthan

Material and Method: This cross-sectional study was done on 50 patients who presented in department of opthalmology from January 2016 to May 2017. Relevant clinical history, demographic data and visual acuity at time of presentation and post-operatively after two month were recorded. All data were compiled and managed on SSPS.

Hasil tajam pengelihatan pasca operasi katarak senilis di RSUP Sanglah Denpasar periode Oktober 2016 - Juni 2017

Introduction: Cataract is a type of eye disease that occurs in the lens of the eye. Cataract occurs not only due to the age factor, but also can occur in children born with these conditions or congenital factors. This study aimed to find out visual acuity outcome after senile cataract surgery at RSUP Sanglah Denpasar on October 2016 - June 2017 period.Method: The type of this research was descriptive cross-sectional conducted at RSUP of Sanglah Denpasar using the medical records of the period of October 2016 - June 2017. The sampling technique used the total sampling, with the number of samples of 32 subjects. The result of this research was processed by using a computer software.Result: The postoperative patients with poor outcome tended to be experienced by the senile cataract of mature group compared to the immature that was around 9.1%, borderline outcome tended to be experienced by group with immature senile cataract of 23.8% while the dominant senile cataract outcome was 81.8%. Patients undergoing SICS procedures tended to have a poor outcome compared to those undergoing a phacoemulsification procedure of 16.7%. Borderline outcome tended to the group undergoing phacoemulsification procedures, and 83.3% of the good outcome tended to be experienced by the group undergoing SICS procedures.Conclusion: This research concludes that good outcome come from cataract senile mature group (81.8%) and the group that doing SICS procedure (83.3%)

The effect of an individualize health teaching on post-operative outcomes for patients undergoing cataract surgery

Background: Cataract refers to pacification of lens lead to visual loss. Cataracts can usually be treated with a day-case operation where the cloudy lens is removed and is replaced with an artificial plastic lens Aim: This study aims at evaluating the effect of an individualized health education on postoperative outcomes for patients undergoing cataract surgery. Methods: Quasi-experimental design was utilized for the conducted study. Sitting: The study was carried out in the ophthalmologic, inpatient and outpatient, clinics of the ophthalmologic hospital of Port Saied. Subjects:A convenient sample of eighty six adult patients of cataract from both genders has been taken over a period of six months. Tools: Two tools were used for data collection. Tool (I). A cataract patients, knowledge structured interview which consisted of socio-demographic data, personal habits and knowledge about cataract surgery. Tool (II). Observational checklist which consisted of two parts: part 1.Post-operative cataract outcome. part 2.Snellen eye chart that is used to measure visual acuity. Results: shows that there is a statistically significant difference between total patient knowledge after individualized health teaching and occurrence of complications. Conclusion: Background after applying the individualized health teaching significantly improved patients knowledge, visual acuity, as well as decrease postoperative complications. Recommendations: Further research will be focused on developing an educational booklet and distributing it to all patients who are undergoing cataract surgery in the ophthalmology department and outpatient clinic.

Going paperless: improved cataract surgery outcome data quality in a new fully electronic unit.

To report outcome data on the first 5000 consecutive cataract cases at a new paperless eye unit and benchmark against the Royal College of Ophthalmologists' National Ophthalmology Database (RCOphth NOD). Using the in-built audit tool of the electronic medical records system, data from all cataract operations performed between 1 April 2014 and 13 January 2017 were compiled. Five thousand and eight cases were recorded of which the overall intra-operative complication rate was 2.4%, the most common being posterior capsular rupture-1.14%. Follow-up data on post-operative complications were recorded in 98.6% of cases. Pre- and post-operative visual acuities was measured in 98.0% of cases. In all, 40.8% of eyes achieved a visual acuity of 6/6 or better and 90.7% achieved 6/12 or better. A data set of >5000 consecutive cataract operations was obtained in this eye department. The recording of pre- and post-operative visual acuity in 98% of cases compare very favourably to the RCOphth NOD Audit Report 2017 where pre- and post-operative visual acuities were recorded in only 57.1% of operations. Despite this difference, the outcome measures from this unit and RCOphth NOD were very similar, validating the results of the RCOphth NOD audit reports. Significantly, when applying the RCOphth NOD audit criteria for measuring post-operative visual acuity, approximately 15% of cases were excluded from the data set, reducing the completeness of the data set. Paperless ophthalmology units are feasible in today's NHS and can produce near complete cataract data sets; this can ultimately lead to more comprehensive and reliable aggregate cataract outcome data.

Long term postoperative refractive outcomes of combined cataract and glaucoma surgery

Long term postoperative refractive outcomes of combined cataract and glaucoma surgery

Comparative analysis of efficacy and adverse effects of tacrolimus vs cyclosporine in chronic dry eye disease: a tertiary care hospital based study

Background: Dry eye disease (DED) is the very common and underdiagnosed ocular condition affecting vision, quality of life, and the outcomes of cataract or refractive surgery. Dry eye disease (DED), either alone or in combination with other conditions, is a frequent cause of ocular irritation that leads the patients to seek ophthalmic care. Due to a wide variety of presenting symptoms, it is often unrecognized and this causes great frustration of the patient and treating physician. While these symptoms often improve with appropriate treatment, usually in majority of the cases the disease may not be curable. Aim of the study was to compare the efficacy of tacrolimus and cyclosporine in dry eye disease.Methods: This was a single centred, 3 months prospective study. Patients with unilateral or bilateral dry eye disease and an ocular surface disease index score &gt;12, atleast one eye with schirmer score &lt;5mm and TBUT &lt;10 s were enrolled in the study. The enrolled patients were randomly divided into two groups, twenty-five patients in Group 1 and twenty three patients in Group 2 completed the follow up. Group 1(n =25) who received 0.03% tacrolimus eye ointment twice daily for consecutive 3 months and Group 2 (n= 23) received 0.05% cyclosporine eye drops twice daily for consecutive 3 months the primary efficacy outcome was Schirmer score after 3 months. The secondary outcomes were TBUT and adverse effects.Results: After 3 months, both the treatment groups showed significant improvement in mean Schirmer score (p&lt;0.001) and mean TBUT (p &lt;0.0001). However, on comparing both the groups, mean Schirmer score and mean TBUT, results were comparable. No patient discontinued treatment because of minor ocular adverse effects.Conclusions: Dry eye patients demonstrated improvement in Schirmer score and TBUT after 3 months of treatment with tacrolimus 0.03% ointment and cyclosporine 0.05% eye drops.

Cataracts in Labrador Retriever and Jack Russell Terrier From the United Kingdom: A Two-Year Retrospective Study

Cataracts are among the most common ocular diseases, and are a leading cause of vision loss in humans and dogs. Jack Russell Terriers (JRT) and Labrador Retrievers (LR) are among the most popular canine breeds in the United Kingdom, and also among the most affected by cataracts.This study aimed to analyze the clinical features and the surgical outcome of cataracts in JRT and LR in an ophthalmologic reference Veterinary Hospital in the United Kingdom. For that purpose, medical records from JRT and LR diagnosed with cataracts between January 2015 and December 2016 were retrospectively evaluated. Data related to identification, clinical history, preoperative features, and surgical outcomes were analyzed.Forty-four dogs (81 eyes), including 26 JRT and 18 LR, were enrolled in the study. Mean ages were 10.2 ± 3.2 years in JRT and 8.5 ± 3.7 years in LR. Twenty-eight (63.6%) were females and 16 (36.4%) were males. Most dogs (84.1%) presented with bilateral cataracts. Nuclear and cortical cataracts were the most prevalent type in both breeds (JRT: n = 30, 61.2%; LR: n = 16, 50.0%), although subcapsular cataracts were also frequent in LR (n = 10, 31.3%). Significant differences in cataract location within the lens were detected between the two breeds (P = .002).Senile in JRT (n = 7) and genetic in LR (n = 7) were the most common etiologies. Concomitant ocular lesions were more frequent in dogs presented with cataracts in advanced stages, and included lens (n = 18; JRT: n = 15; LR: n = 3) and retinal alterations (n = 8; JRT: n = 2; LR: n = 6), and glaucoma (n = 6; JRT: n = 5; LR: n = 1). Thirty-three animals (75.0%, 51 eyes) were submitted to phacoemulsification with intraocular lens placement. Of these, 28 eyes (54.9%; JRT: n = 21; LR: n = 7) were visual, 19 eyes (37.3%; JRT: n = 11; LR: n = 8) presented impaired vision and four eyes (7.8%; JRT: n = 0; LR: n = 4) were blind at last clinical record. Postoperative complications were detected in 11 eyes (21.6%), and were more frequent in dogs presented with cataracts in advanced stages.These results and the multifactorial nature of cataracts call for further studies to identify and characterize the variables in a broader assessment, including other breeds and influencing factors.

Incidence, Risk Factors and Surgical Outcomes of Cataract among Patients with Uveitis in a University Referral Hospital in Riyadh, Saudi Arabia

ABSTRACTPurpose: To investigate incidence, risk factors, and surgical outcomes of cataract among uveitis patients.Methods: Retrospective review of 1000 patients (1582 eyes).Results: At initial presentation, cataract was diagnosed in 290 (18.3%) eyes and was most common in eyes with anterior uveitis. Fuchs’ uveitis, herpetic uveitis, and presumed tuberculous uveitis were leading clinical entities associated with cataract at presentation. During follow-up, cataract developed in additional 200 (12.6%) eyes and was most common in eyes with anterior uveitis. Significant risk factors at presentation included age >18 years, female gender, presence of keratic precipitates, hypopyon, and posterior synechiae. Among the 490 eyes with cataract, 204 underwent cataract extraction during follow-up period. Best corrected vision of ≥20/40 was achieved in 122 (60.1%) eyes.Conclusions: Incidence of cataract differed depending on anatomic and etiologic diagnoses of uveitis. There is a significant association between severity of inflammation at presentation and development of cataract.

Visual outcome of congenital and developmental cataract surgery in Lumbini Eye Institute

Background: Paediatric blindness presents as an enormous problem to developing countries in terms of human morbidity, economic loss and social burden.Aims and Objective: The objective of this study was to observe the visual outcome of congenital and developmental cataract surgery.Materials and Methods: This study was prospective, longitudinal and interventional. The patients aged ≤15 years, diagnosed either congenital or developmental cataract and planned for cataract surgery were enrolled during March 2014 to February 2015 at Lumbini Eye Institute, Nepal. The patients underwent either: a) Lens aspiration + PPC+ Anterior Vitrectomy; b) Lens aspiration + PPC+ Anterior Vitrectomy + PCIOL; c) Lens Aspiration + PCIOL depending upon age of patient. The patients were examined after surgery day 1, day 2, after 2 weeks and after 6 weeks. Glasses were prescribed at 6 weeks from the date of surgery. Occlusion therapy was initiated in cases wherever necessary.Results: A total of 54 eyes of 43 children were included in the study. The sex ratio was 1.26 female per male with mean age of 3 years (SD ± 2.16). In the verbal group, 61.1% (33 eyes) had final visual acuity (6/6-6/18). In the non verbal group, 16.7% (9 eyes) had final visual acuity of good fixation and follow. There was a statistically highly significant improvement in post surgical Best corrected visual acuity (p&lt; 0.001).Conclusion: Good visual outcome after pediatric cataract surgery can be obtained if surgery is performed by skilled surgeon. The awareness of pediatric cataract, early diagnosis and timely intervention to surgical treatment, and postoperative management of residual uncorrected refractive error and amblyopia are important factors for the prevention of childhood blindness from cataract.Asian Journal of Medical Sciences Vol.9(2) 2018 36-39

Phacoemulsification surgery and foldable intraocular lens implantation in a child with regressed retinoblastoma.

The management of retinoblastoma has been shifting toward conservative treatment. Visual preservation has become a concern as tumor re g ression is achieved. To report the surgical approach and outcome of a radiation-induced cataract in an only eye with regressed retinoblastoma. Single case report and review of literature. Small incision sutureless phacoemulsification and implant of an acrylic foldable intraocular lens was performed. Best-corrected visual acuity 1 year after surgery was 20/20. No tumor recurrence has been noted after 27 months of follow-up. Phacoemulsification and foldable iintraocular lens implant seemed to be an appropriate therapeutic option for this case.