Secondary intraocular lens implantation after cataract surgery in children

American Journal of Ophthalmology
A W BiglanC C Gerontis

Abstract

To report results of secondary intraocular lens implantation after cataract surgery in children. We reviewed clinical records for a 5-year period of patients who had cataract surgery in childhood and received a secondary intraocular lens implant. We studied indications for secondary intraocular lens placement; surgical procedures for intraocular lens implantation; preoperative and postoperative visual acuity, refractive error, and binocular status; and complications of the procedure. A secondary intraocular lens was placed in 28 eyes of 25 patients who had cataract surgery in childhood. In 20 eyes, the lenses were placed in the ciliary sulcus. The other eight eyes had insufficient capsular support for an intraocular lens; in two, the intraocular lens was placed in the anterior chamber and, in six, in the posterior chamber with suture fixation to the sclera. Twenty of 28 eyes (71%) had measurable improvement in visual acuity; only one eye had a decrease in visual acuity of 2 lines. Fifteen patients (54%) had a final refraction within 1.50 diopters of the fellow eye; 21 (75%) were within 3.00 diopters. During follow-up, two eyes developed glaucoma. One had transient pressure elevation; one required two filtration procedures. Thre...Continue Reading

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Citations

Nov 24, 2011·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Bharti R Nihalani, Deborah K Vanderveen
Jul 17, 2015·Journal of Pediatric Ophthalmology and Strabismus·Melissa A SimonSuqin Guo
Oct 26, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·E G Buckley
Dec 29, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·M E WilsonM J Greenwald
Aug 17, 2005·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Rupal H TrivediJohn Facciani
Jan 13, 2015·American Journal of Ophthalmology·Bhamy Hariprasad ShenoyRamesh Kekunnaya
Mar 8, 2013·The British Journal of Ophthalmology·Bhamy Hariprasad ShenoyRamesh Kekunnaya
Oct 27, 2016·Journal of Pediatric Ophthalmology and Strabismus·Nazife Sefi-Yurdakul, Ayse Tülin Berk
Jul 31, 2010·Journal of Pediatric Ophthalmology and Strabismus·Ihsan CacaFuat Alakus
Aug 28, 2010·Journal of Pediatric Ophthalmology and Strabismus·Touka Banaee, Setareh Sagheb
Jan 25, 2002·Current Opinion in Ophthalmology·Forrest J Ellis
Jul 1, 1999·Current Opinion in Ophthalmology·M J Koch, T Kohnen
Oct 20, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·K D EpleyL Tychsen
Apr 17, 2004·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Tracy CrnicJoost Felius
Oct 26, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·M J Greenwald, S R Glaser
Aug 18, 2004·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·C M BardorfL Tychsen
Dec 29, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·M G Wood, L P Schelonka

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