Capsular Management and Refractive Error in Pediatric Intraocular Lenses

Plager, David A.; Lipsky, Stephen N.; Snyder, S K; Sprunger, Derek T.; Ellis, Forrest D.; Sondhi, Naval

doi:10.1016/s0161-6420(97)30264-4

Cited by 60 publications

(33 citation statements)

References 22 publications

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“…Previous publications have shown the importance of posterior capsulorhexis to avoid opacification of the visual axis [22,23,24,25]. Our study did not reveal a statistically significant difference in postoperative refraction between the 2 surgical techniques.…”

Section: Discussioncontrasting

confidence: 54%

Predictability of Intraocular Lens Calculation Using the Holladay II Formula after in-the-Bag or Optic Captured Posterior Chamber Intraocular Lens Implantation in Paediatric Cataracts

Lüchtenberg

Kuhli-Hattenbach²,

Fronius³

et al. 2008

Ophthalmologica

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Purpose: To assess the predictability of postoperative refraction using the Holladay II-formula in paediatric patients randomized to undergo 2 different surgical procedures. Methods: Fourty cataractous eyes of 29 patients (age 2.31–11.75 years) were operated with in-the-bag intraocular lens implantation. Randomly, either an anterior vitrectomy (group A, 19 eyes) or posterior optic capture without vitrectomy (group B, 21 eyes) was performed. Randomization was done in 4 separate age groups, in accordance with 4 target refractions (0, 1, 2 and 3 dpt) to compensate for the anticipated myopic shift. Results: The predicted refraction correlated with the achieved postoperative refraction (total group, p = 0.019), closer in group A (p = 0.033) than in group B (p = 0.265); however, the results of groups A and B were not significantly different (p = 0.324). There was a tendency for postoperative targeted hyperopia being underachieved in the youngest patients. Conclusion: The Holladay II formula provides reliable intraocular lens calculation in paediatric cataracts. The tendency to underachieve the target refraction in younger patients needs further investigation.

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Section: Discussioncontrasting

confidence: 54%

Predictability of Intraocular Lens Calculation Using the Holladay II Formula after in-the-Bag or Optic Captured Posterior Chamber Intraocular Lens Implantation in Paediatric Cataracts

Lüchtenberg

Kuhli-Hattenbach²,

Fronius³

et al. 2008

Ophthalmologica

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“…Following PMMA PCIOL implantation, the mean time for development of PCO in children was reported to be 18-24 months [17,21]. Jensen et al [11] found a significantly earlier and higher incidence of PCO after PMMA PCIOL in younger children (age 1-6 years) than in older children (over 6 years), which corresponds to the general clinical impression.…”

Section: Discussionmentioning

confidence: 87%

Results and complications of hydrophobic acrylic vs PMMA posterior chamber lenses in children under 17 years of age

Küchle

Lausen

Gusek-Schneider

2003

Graefe's Arch Clin Exp Ophthalmol

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“…Implantation of posterior chamber IOL at the time of cataract surgery in children has become common practice. Good to excellent visual results with very low complication rates have been reported in numerous series [14, 15, 16, 17, 18, 19, 20]. The vast majority of children in these studies were older than 2 years of age at the time of surgery, but recent reports have included some infants [8, 12, 13, 21].…”

Section: Discussionmentioning

confidence: 99%

Visual Results after Primary Intraocular Lens Implantation or Contact Lens Correction for Aphakia in the First Year of Age

Autrata

Řehůřek

Vodičková³

2005

Ophthalmologica

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Purpose: The optimal role of intraocular lenses (IOLs) in infants remains a controversial topic. Some ophthalmologists advocate correction with a contact lens (CL), whereas others recommend an IOL correction. Our study compared visual acuity, ocular alignment, retreatment rate and binocular vision outcomes in children treated with these two methods at our clinic. Methods: This study included 41 children with unilateral congenital cataract who underwent cataract surgery with posterior capsulorhexis and anterior vitrectomy, coupled with (IOL group, n = 18) or without (CL group, n = 23) primary IOL implantation. All infants underwent the first surgery during the first 12 months of their life and they were operated on in the period from 1994 to 1999. The mean age at surgery was 3.11 ± 2.65 months (range: 28 days to 11 months). All patients were prescribed the same half-time reduced occlusion therapy. Good cooperation of the parents and good compliance with patching were the necessary conditions to include a patient in the study. Between January and February 2003, the final visual acuity and binocular vision outcomes were examined. Results: The mean final visual acuity (logarithm of the minimum angle of resolution) of the operated eye was 0.43 ± 0.33 for the IOL group and 0.58 ± 0.39 for the CL group (p = 0.14). The mean interocular difference in visual acuity was 0.22 ± 0.29 for the IOL group and 0.56 ± 0.31 for the CL group (p = 0.042). The reoperation rate was 78% in the IOL group compared with 35% in the CL group (p = 0.017). Esotropia or exotropia of more than 8 prism diopters were present in 55% of children (10/18) in the IOL group compared with 83% of children (19/23) in the CL group (p = 0.039). Conclusions: We suggest that correction of aphakia after unilateral congenital cataract surgery with primary IOL implantation results in improved visual acuity, improved binocular vision outcome and less occurrence of strabismus, but a higher rate of complications requiring reoperation. Further studies with a larger pediatric patient group are necessary to confirm the optimal treatment of aphakia after unilateral congenital cataract extraction.

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Capsular Management and Refractive Error in Pediatric Intraocular Lenses

Cited by 60 publications

References 22 publications

Predictability of Intraocular Lens Calculation Using the Holladay II Formula after in-the-Bag or Optic Captured Posterior Chamber Intraocular Lens Implantation in Paediatric Cataracts

Predictability of Intraocular Lens Calculation Using the Holladay II Formula after in-the-Bag or Optic Captured Posterior Chamber Intraocular Lens Implantation in Paediatric Cataracts

Results and complications of hydrophobic acrylic vs PMMA posterior chamber lenses in children under 17 years of age

Visual Results after Primary Intraocular Lens Implantation or Contact Lens Correction for Aphakia in the First Year of Age

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