Intraocular Lens Implantation: Has it become the Standard of Care for Children?

Wilson, M. Edward

doi:10.1016/s0161-6420(96)30436-3

Cited by 84 publications

(48 citation statements)

References 7 publications

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“…IOLs are being increasingly used to correct aphakia in children after cataract surgery [2, 3, 4, 5, 6]. The use of IOLs to correct pediatric aphakia is now regarded as a well-accepted approach for children beyond infancy [7]. Improvements in the surgical technique and IOL design have made implantation of IOLs into small pediatric eyes safer and less traumatic.…”

Section: Introductionmentioning

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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Section: Introductionmentioning

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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“…Indication and time of implantation of posterior chamber intraocular lenses (PCIOL) in children as well as type and material of PCIOL are still being controversially discussed [4,8,13,20].…”

Section: Introductionmentioning

confidence: 99%

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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“…[1][2][3][4] IOL implantation is now common in children across the entire age spectrum including infants younger than 1 year of age. 4 Several formulas are used to predict the IOL power needed to achieve a desired refractive outcome.…”

mentioning

confidence: 99%

Effect of axial length and keratometry measurement error on intraocular lens implant power prediction formulas in pediatric patients

Eibschitz-Tsimhoni

Tsimhoni

Archer

et al. 2008

Journal of American Association for Pediatric Ophthalmology and

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Intraocular Lens Implantation: Has it become the Standard of Care for Children?

Cited by 84 publications

References 7 publications

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

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

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

Effect of axial length and keratometry measurement error on intraocular lens implant power prediction formulas in pediatric patients

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