Secondary intraocular lens implantation for pediatric aphakia

Refractive outcomes with secondary intraocular lens implantation in children

“…8 The mean absolute value of prediction error observed in this study, 1.64 AE 1.58 D, is consistent with the limited number of previous pediatric secondary IOL series in that it shows a considerable difference from reports in the adult literature. An earlier pediatric secondary IOL study by Awad and colleagues 9 found that 78% of patients had a postoperative refraction AE2 D of the predicted value, although the authors acknowledged the data represented cases from numerous surgeons, each with individualized refractive goals.…”

Secondary intraocular lens implantation after pediatric aphakia

“…Decentration of IOL may be result of external factors, such as trauma or eye rubbing, or may be the result of internal factors, such as size disparity between an IOL and the site of fixation, scarring, synechiae formation, and capsular contraction. 11,[13][14][15] Risk factors for decentration were male sex and axial length .24.5 mm. In our study, none of the patients had singlepiece foldable lenses in the sulcus, and no eye developed clinically significant decentration.…”

Combined anterior and posterior segment injuries in children: a review

“…Secondary lens implantation should only be considered in stable situations, when silicone oil has been removed and the retina is attached. The preferred choice of secondary lens implantation should be the implantation of a iris claw lens in the posterior chamber or, as second choice, the suturing of a posterior chamber intraocular lens [34].…”