Congenital Cataract and Intraocular Lenses

BenEzra, David; Páez, Juan Homar

doi:10.1016/s0002-9394(14)77820-1

Cited by 84 publications

(4 citation statements)

References 8 publications

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“…Finally, Ben Ezra and Paez24 found foveolar fixing with a visual acuity >20/40 (<0.3 log MAR) in nine children operated on for unilateral cataract with primary implantation performed after the age of 1½, without any major postoperative complications.…”

Section: Discussionmentioning

confidence: 94%

Visual outcome after paediatric cataract surgery: is age a major factor?

Lesueur

Arné

Chapotot

et al. 1998

British Journal of Ophthalmology

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Aims-To determine functional results after unilateral and bilateral cataract surgery in children with diVerent aphakic optical correction. Methods-In this retrospective study, we evaluated visual acuity and binocular vision in 107 children who underwent cataract surgery during the 10 year period from 1985 to 1995. Aphakia was corrected by an intracapsular intraocular lens (IOL), spectacles or contact lenses. Results-Mean visual acuity was >20/40 (<0.3 log MAR) with normal binocular vision in 58 children over 7 months of age operated on for bilateral cataracts. Pseudophakic eyes regained visual acuity >20/63 (<0.5 log MAR) more often (90%) than aphakic eyes (46%) (p<0.001). Binocular vision was also achieved more often after IOL implantation (p<0.001). Visual outcome of early bilateral cataracts was less satisfactory in children with abnormal foveolar function. For 49 children who had surgery for unilateral cataracts, prognosis was poor when surgery was performed before the age of 7 months. For cataract surgery in older children (>7 months) mean visual acuities were better with IOL implantation (p<0.05). Conclusion-Cataract surgery with unilateral and bilateral IOL implantation can provide a beneficial eVect on final visual outcome in children who are operated on before abnormal foveolar function develops.

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Section: Discussionmentioning

confidence: 94%

Visual outcome after paediatric cataract surgery: is age a major factor?

Lesueur

Arné

Chapotot

et al. 1998

British Journal of Ophthalmology

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show abstract

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Early correction of aphakic refractive error is one of the most critical components of management. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Despite the extensive literature on the use of intraocular lens (IOL) implantation as the method of aphakic correction, [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] the U.S. Food and Drug Administration (FDA) has not yet extended the age of implantation to include children.…”

mentioning

confidence: 99%

Pediatric cataract extraction with intraocular lens implantation: Visual acuity outcome when measured at age four years and older

Ledoux

Trivedi

Wilson

et al. 2007

Journal of American Association for Pediatric Ophthalmology and

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“…Eighteen of our patients underwent lens aspiration with (4) or without (14) primary posterior capsulotomy. Fifteen of these had J-loop posterior chamber intraocular lenses (PC IOL) with prolene loops and three patients (cases 9, 15, 20) had flexible one-piece open loop polymethyl methacrylate (PMMA) anterior chamber lenses (AC IOL).…”

Section: Methodsmentioning

confidence: 99%