Secondary posterior chamber intraocular lens implantation in pediatric patients

American Journal of Ophthalmology
J M DeVaroJ H Seaber

Abstract

To report results of secondary posterior chamber intraocular lens (IOL) implantation in previously aphakic pediatric patients. In 19 pediatric patients, 19 aphakic eyes (11 after infantile and eight after traumatic cataract surgery) received secondary sulcus-fixated posterior chamber IOL implants. Visual acuity of 20/40 or better was achieved with IOL implantation and overrefraction in three of 11 infantile (27%) and six of eight traumatic cataract patients (mean follow-ups, 18.1 months [range, 8 to 29 months] and 18.0 months [range, 6 to 28 months]), respectively. Eighteen of 19 patients (95%) demonstrated postoperative vision equal to or better than preoperative levels; 15 of 19 patients (79%) showed improved vision after IOL implantation. The mean +/- SD difference between actual and predicted postoperative refraction at 1 month was -0.97 +/- 0.96 diopter. Average refractive error at last examination was -0.40 +/- 2.43 diopters. Amblyopia therapy was performed in 14 patients. One IOL required repositioning 8 months postoperatively. Strabismus was present in 14 patients before and 13 patients after IOL implantation, requiring surgery in four patients. Secondary IOL implantation can be performed successfully in carefully selec...Continue Reading

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Citations

Jul 10, 2014·Indian Journal of Ophthalmology·Fangju HanXiangjuan Zhai
Dec 28, 1999·Journal of Cataract and Refractive Surgery·N SharmaV K Dada
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Nov 24, 2011·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Bharti R Nihalani, Deborah K Vanderveen
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Aug 17, 2005·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Rupal H TrivediJohn Facciani

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