Opacification of Intraocular Lenses Implanted during Infancy

Pehere, Niranjan K; Sreedhar, B.; Vemuganti, Geeta K.; Vaddavalli, Pravin K.; Samant, Monica; Jalali, Subhadra; Bhate, Manjushree

doi:10.1016/j.ophtha.2011.05.012

Cited by 10 publications

(3 citation statements)

References 18 publications

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“…[ 18 ] In one of the previous publications from our institute, we observed increased incidence of significant IOL deposits when hydrophilic IOLs were implanted in infants. [ 19 ] This was possibly due to the IOL material and its processing which attracts calcium and phosphorus ions in the irrigating solutions and viscoelastics to form deposits over the IOL. These eyes underwent IOL explantation to prevent sight-threatening amblyopia.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes following primary intraocular lens implantation in infants younger than 6 months

Negalur

Sachdeva

Neriyanuri

et al. 2018

Indian J Ophthalmol

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Purpose:To study the long-term safety profile and visual outcomes of primary intraocular lens (IOL) implantation in infants <6 months of age.Methods:This was a retrospective observational study conducted at a tertiary eye care center in South India. Infants under 6 months meeting the selection criteria who underwent cataract surgery (lens aspiration, primary posterior capsulorhexis, and anterior vitrectomy) with primary IOL implantation between January 2008 and December 2011 and minimum 3-year follow-up were included. Patient demographics, serial refractions, visual acuity, complications, and associated amblyopia/strabismus were reviewed. Visual acuity, myopic shift, and complications were the outcome measures.Results:Sixty-nine eyes of 38 infants (31 bilateral; mean age: 4.6 months) were reviewed. Mean follow-up was 51 months (range: 36–84). Median logMAR best-corrected visual acuity at the final visit was 0.74 (interquartile range [IQR]: 0.50–0.98) in eyes with bilateral cataracts and 0.87 (IQR: 0.60–1.14) in eyes with unilateral cataracts with an average myopic shift of 6.7 diopters over 4.2 years. Most common postoperative complication was visual axis opacification (VAO) (13 eyes, 18%), necessitating membranectomy followed by pigmentary IOL deposits (11 eyes, 15%), and IOL decentration and glaucoma in four eyes each (5.6%). Mixed linear effect model found no significant association of age, gender, laterality, and postoperative complications with final visual acuity (P ≥ 0.05). Eyes with unilateral cataracts had a greater myopic shift than bilateral cases (P = 0.03).Conclusion:Primary IOL implantation in infants <6 months is reasonably safe in appropriately selected infants. VAO was the most common postoperative complication, and a large myopic shift was observed.

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Section: Discussionmentioning

confidence: 99%

Long-term outcomes following primary intraocular lens implantation in infants younger than 6 months

Negalur

Sachdeva

Neriyanuri

et al. 2018

Indian J Ophthalmol

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“…The IOL deposits seen have been described as composed of calcium and phosphorus. [1][2][3] Nd:YAG posteriorcapsulotomyhasnotbeennotedtohelpclearthedeposits. 4,5 The IOL might be explanted and exchanged with a newer hydrophobic acrylic lens if severe deterioration of vision is noted.…”

mentioning

confidence: 99%

“…The best-corrected visual acuity was 20/30, and N6 for near, associated with a nasal retinal fold arising from the disc. The IOL deposits seen have been described as composed of calcium and phosphorus . Nd:YAG posterior capsulotomy has not been noted to help clear the deposits .…”

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confidence: 99%

Spoke-Wheel–Shaped Deposits Over Intraocular Lens

Jain

Kekunnaya

2022

JAMA Ophthalmol

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A 13-year-old healthy child had a history of penetrating trauma with a broomstick at the age of 6 years for which she underwent an uneventful pars plana vitrectomy and lens aspiration with posterior capsulotomy. A hydrophilic acrylic intraocular lens (IOL) (+21.00 diopter, Model-SQRYCF; Caregroup Sight Solution) was implanted. The IOL showed multiple spokelike deposits over the anterior and posterior surface 10 months after implantation (Figure). These deposits did not obscure the visual axis and remained stable on follow-up. The bestcorrected visual acuity was 20/30, and N6 for near, associated with a nasal retinal fold arising from the disc. The IOL deposits seen have been described as composed of calcium and phosphorus. [1][2][3] Nd:YAG posteriorcapsulotomyhasnotbeennotedtohelpclearthedeposits. 4,5 The IOL might be explanted and exchanged with a newer hydrophobic acrylic lens if severe deterioration of vision is noted. 6

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Surgical Management of Pediatric Cataract in India

Sachdeva¹,

Kekunnaya²

2016

Congenital Cataract

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Opacification of Intraocular Lenses Implanted during Infancy

Cited by 10 publications

References 18 publications

Long-term outcomes following primary intraocular lens implantation in infants younger than 6 months

Long-term outcomes following primary intraocular lens implantation in infants younger than 6 months

Spoke-Wheel–Shaped Deposits Over Intraocular Lens

Surgical Management of Pediatric Cataract in India

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