Phakic posterior chamber lens implantation in children with high myopia 1

1 Year Follow up Implantable Collamer Lenses (ICLs) for the Treatment of Pediatric Anisometropic Amblyopia

“…The endothelial cell count remained statistically not significant during follow up. Lesueur & Arne [28] reported similar encouraging results of phakic posterior chamber IOL insertion in five eyes of children aged 3-16 years old with amblyopic high myopia and a mean preoperative spherical equivalent of -12.8 D. He reported no complications from the study, and all parents reported an improvement in their child's quality of life. A gain of 3 or more Snellen lines, as well as recovery of binocular vision was observed in two patients.…”

Pediatric refractive surgery: Corneal and intraocular techniques and beyond

“…Posterior chamber phakic IOLs have also been implanted in children. 26,46,47 Tychsen and colleagues 30 provide a detailed description of pediatric phakic IOL implantation.…”

Refractive Surgery for Special Needs Children

“…Obtaining the preoperative quantitative information needed often requires multiple sets of measurements by examiners skilled in examining uncooperative children, supplemented by a confirmatory set obtained during a brief examination under anesthesia. 6,9 The surgical devices and techniques used, progressing from least to most invasive, are advanced surface ablation (ASA) using the excimer laser (ie, photorefractive keratectomy) 6,8,15,[19][20][21][22][23][24][25] ; implantation of a phakic intraocular lens (IOL) 9,[26][27][28][29][30][31] ; and clear lens extraction (CLE) with or without insertion of a posterior chamber IOL (refractive lens exchange [RLE] 7,10 ). The following is a general strategy.…”

“…Posterior chamber phakic IOLs have also been implanted in children. [28][29][30] Because these implants lie immediately adjacent to the iris pigment layer and lens, they pose greater risk for pigment dispersion and cataract formation over the long-term in a pediatric eye.…”