PMID: 9442786Jan 27, 1998Paper

Pediatric intraocular lens implantation. Surgical results and complications in more than 300 patients

Ophthalmology
J ZwaanD T Wheeler

Abstract

The study aimed to review pediatric intraocular lens (IOL) implantations performed in the authors' institution for the past 7 years. The study design was a retrospective chart review. All children who underwent IOL placement between January 1, 1989, and January 31, 1996, at ages 2 to 16 years were studied. Follow-up was a minimum of 6 months up to 4 years with an average of 13 months. Placement of a primary or secondary posterior chamber IOL was performed. Visual acuity and possible complications were tabulated. Fifty-seven percent of the cataracts were caused by trauma, and 37% were infantile cataracts. Visual acuities of 20/40 or better were attained in 44% of eyes and visual acuities of 20/50 to 20/80 were attained in 27% of eyes. Visual acuities were better in children older than 4 years of age (P = 0.001). Compliance with amblyopia therapy improved vision (P = 0.004). Fibrinous membranes occurred in 41 eyes (13%), and posterior capsule opacification occurred in 120 eyes (39%). There were no significant differences in visual outcome and complications between primary and secondary implants (17%) or between capsular bag and sulcus fixation (27%). The first stable postoperative refraction was predicted accurately in most patie...Continue Reading

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Citations

Nov 30, 2010·Journal of Cataract and Refractive Surgery·Amir FaramarziMehdi Yaseri
Dec 17, 2009·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Daniel B MooreDavid A Plager
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May 8, 2004·Journal of Cataract and Refractive Surgery·Jonathan G CrowstonAnthony Maloof
May 9, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Rupal H TrivediRichard L Golub
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