Secondary intraocular lens implantation after pediatric aphakia

Nihalani, Bharti R.; VanderVeen, Deborah K.

doi:10.1016/j.jaapos.2011.05.019

Cited by 49 publications

(39 citation statements)

References 23 publications

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“…This included the operated eye for unilaterally affected patients and a randomly selected eye from bilaterally affected patients. The results of our study and similar other studies are reported and summarized as weighted means [4][5][6][7][8][9] in Table 2. While the precise methods vary between our study and the other reported studies, this table allows for easy comparison of the studies' data concerning secondary IOL implantation.…”

Section: Discussionsupporting

confidence: 67%

Secondary intraocular lens implantation following infantile cataract surgery: intraoperative indications, postoperative outcomes

Wood

Tadros

Trivedi

et al. 2016

Eye

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Purpose The purpose of this study was to determine the long-term complications and outcomes of secondary intraocular lens (IOL) implantation in patients with congenital cataracts. Patients and MethodsThe medical records of children operated for secondary IOL implantation surgery between 2000 and 2014 were retrospectively reviewed. Those who had undergone their initial congenital cataract surgery before 7 months of age were included and were analyzed for intra-and postoperative factors and postoperative refractive outcomes. We focused on three complications: visual axis opacification (VAO), glaucoma, and IOL exchange after at least 1 year of follow-up. Results A total of 49 eyes of 49 patients were analyzed for intraoperative indications. Of those, 37 eyes of 37 patients had at least 1 year of follow-up and were analyzed for postoperative outcomes. The mean age at secondary implantation was 55.2 ± 21.6 months. At secondary implantation, 69.4% of eyes were implanted in the capsular bag, 28.6% in the sulcus, and 2.0% that were angle-supported. There was no significant correlation between the site of secondary IOL implantation and age at implantation (P = 0.216). The mean follow-up after implantation was 57.6 ± 33.6 months. The rate of VAO was 5.4%, the rate of glaucoma occurring after secondary implantation was 16.2%, and the rate of IOL exchange was 2.7%. The median visual acuity at final follow-up was 20/40. For patients with unilateral cataracts it was 20/60 and for bilateral patients it was 20/30. ConclusionsThe secondary IOL implantation in children is a relatively safe procedure associated with low rates of postoperative complications. Visual outcomes are acceptable and are better for bilateral patients than for unilateral patients.

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Section: Discussionsupporting

confidence: 67%

Secondary intraocular lens implantation following infantile cataract surgery: intraoperative indications, postoperative outcomes

Wood

Tadros

Trivedi

et al. 2016

Eye

View full text Add to dashboard Cite

show abstract

“…The mean age at secondary IOL implantation in our cohort was 6.08±3.75 years with 54% undergoing secondary IOL implantation earlier than 5 years of age and an additional 22% between 5 and 8 years of age, which coincides with the period of active refractive growth of a child's eye. Nihalani and Vanderveen4 found a lower PE in their cohort of older children (mean age 9.1 years) undergoing secondary IOL implantation.…”

Section: Discussionmentioning

confidence: 85%

“…The mean absolute value of PE at 3 months observed in the present study, albeit slightly higher, was comparable to that reported in limited number of previous paediatric secondary IOL series (table 2). 9 18 Moore et al 9 calculated the PE between 6 and 8 weeks whereas Nihalani and Vanderveen4 did the same between 4 and 8 weeks postoperatively. In the current study 20% had an absolute PE within 0.5 D and 60% within 2 D. In a study of 61 eyes with secondary ciliary sulcus-fixated IOL implantation, Awad et al 6 found that 78% of the patients had a postoperative refraction ±2 D of the predicted value.…”

Section: Discussionmentioning

confidence: 99%

“…Early correction of aphakic refractive error is a critical component in the management of such cases to prevent development of amblyopia 3. Secondary IOL is considered when a child with aphakia becomes intolerant to contact lens or spectacle wear, is non-compliant with contact lens or spectacle wear, or when more functional vision without additional correction is desired 4. Recent studies have reported on the safety and favourable visual outcomes with secondary IOL implantation 4–10.…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies have reported on the safety and favourable visual outcomes with secondary IOL implantation 4–10. However, studies on refractive outcomes and prediction error (PE) following secondary IOL implantation in children have been limited 4 6 9 10…”

Section: Introductionmentioning

confidence: 99%

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