Modern intraocular lens implants in children with new age limitations

Hiles, David A.; Hered, Robert W.

doi:10.1016/s0886-3350(87)80102-5

Cited by 72 publications

(15 citation statements)

References 9 publications

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“…Children with traumatic or complicated cataracts and those who underwent cataract extraction without PPC or AV were excluded. As the risk of developing postoperative complications is commoner in younger children, [5][6][7][8][9] we divided all the children into less and more than 2 years. As implantation of IOL can further influence intraoperative difficulties and postoperative complications like VAO, the children less than 2 years were further divided on the basis of IOL implantation.…”

Section: Methodsmentioning

confidence: 99%

Intraoperative usefulness and postoperative results of the endoilluminator for performing primary posterior capsulectomy and anterior vitrectomy during pediatric cataract surgery

Matalia

Anaspure

Shetty

et al. 2014

Eye

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Purpose To analyze the intraoperative usefulness and postoperative results of endoilluminator use during pediatric cataract surgery. Methods Medical records of children o8 years of age who underwent lens aspiration with primary posterior capsulectomy (PPC) and anterior vitrectomy (AV) with or without intraocular lens implantation (IOL) were studied. An endoilluminator was used intraoperatively as an external light source in all cases to ensure the completeness of PPC and adequacy of AV. All children were divided into three groups depending upon the age at surgery and presence of IOL. We included only the first operated eye in bilateral cases. We studied the intraoperative performance for all and postoperative complications for those with 46 months follow-up. Results The charts of 79 eyes of 46 children (26 boys, 20 girls: 33 bilateral, 13 unilateral) were reviewed, of which we analyzed 46 eyes of 46 children for intraoperative performance and 42 eyes of 42 children for postoperative complications. The intraoperatively adequate size of PPC was obtained in all cases with no vitreous in the anterior chamber. Two cases in the first group developed peaking of the pupil, and one case developed visual axis contraction requiring membranectomy.None of the cases in the other groups developed any complication. Conclusion An endoilluminator is a simple, safe, and powerful tool for better visualization of the posterior capsule and anterior vitreous during pediatric cataract surgery. It helps in confirming a good vitrectomy, ensuring its completeness and thereby reducing the chances of any complication due to inadequate AV.

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Section: Methodsmentioning

confidence: 99%

Intraoperative usefulness and postoperative results of the endoilluminator for performing primary posterior capsulectomy and anterior vitrectomy during pediatric cataract surgery

Matalia

Anaspure

Shetty

et al. 2014

Eye

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“…[16][17][18][19][20] The change in refraction seen over the first two years or so of a child's life-usually a loss of several dioptres of hypermetropia-have suggested to some that an intra ocular lens might need replacement at least once in a life time to keep up with this change; full correction from the start would lead to marked overcorrection later.8 Also, although there is now forty years' experience with PMMA as an intraocular material, this is perhaps only half a child's expected lifetime, and PMMA itself is probably not the most suitable lens material for an infant's eye, because a rigid lens may be more difficult to introduce and could damage corneal endothelial cells by direct contact.…”

mentioning

confidence: 99%

Results of intraocular lens implantation in paediatric aphakia

Markham

Bloom

Chandna

et al. 1992

Eye

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SUMMARYIntraocular lenses were implanted in 16 eyes of 13 patients with congenital cataract, and visual progress was plotted using a preferential-looking technique. Initial surgery was by lens aspiration with preservation of the posterior capsule, and subsequent posterior capsulotomy without anterior vitrectomy. Poly-HEMA posterior chamber lenses were used, usually as a primary pro cedure but in four cases as a secondary procedure after contact lens failure. No serious complications were encountered. Most ey es achieved a very significant visual improvement, and none were worse than preoperatively.Residual refractive error was highly unpredictable, but did not exceed 6 dioptres. The importance of rigorous occlusion therapy is stressed. With close follow-up, this procedure offers an effective and safe method for the cor rection of unilateral paediatric aphakia, and, in selected cases only, for bilateral aphakia.

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“…Early reports of IOL implantation during childhood emphasized the high complication rate associated with their use. [8][9][10][11][12][13] As a result, some investigators recommended that IOLs be implanted only in older children with unilateral traumatic cataracts or in children who could not tolerate CLs. [8][9]14 Results of many of these early case series also showed that anterior chamber and iris fixation CLs were associated with fewer complications than were posterior chamber IOL implants.…”

Section: Discussionmentioning

confidence: 99%