Successful surgical rehabilitation of children with traumatic corneal laceration and cataract

Intraocular Lens Implantation in Penetrating Ocular Trauma

“…28,31 Since then, numerous reports have touted IOL implantation in children suffering from cataracts after both blunt and penetrating eye injuries. 8,10,20,[26][27][28][29][32][33][34][35][36][37][38][39][40] Table 3 summarizes studies presenting results in patients with primary lensectomy and primary IOL implantation, primary lensectomy and secondary IOL implantation, and secondary lensectomy and secondary IOL implantation.…”

“…Gradin and Yorston examined all traumatic cataracts (both from blunt and penetrating traumas) and showed that PCO rates dropped markedly with capsular IOLs as opposed to sulcus-based placements. 35 Together, these data show that IOL implantation in children after penetrating ocular injury and traumatic cataract can provide significant visual rehabilitation 8,10,11,18,20,[26][27][28][29][30][32][33][34][35][36][37][38][39][40][41][42] and preservation of binocular function. 10,34,38,43 The prospective study by BenEzra et al showed that children treated with primary IOL implantation achieved better final visual acuities than those treated with aphakic contact lenses, 26 and critically evaluating their data shows this effect to be greatest in children under 8 years of age.…”

Evolution of postoperative astigmatism after large incision PMMA lens implantation in children

“…[1][2][3][4] Much less has been reported on postoperative cylindrical changes. Although studies have suggested that surgically induced astigmatism resolves after small incision (#3.6 mm) pediatric cataract extraction and lens insertion, [5][6][7][8][9][10][11][12][13][14][15][16] little is known regarding changes in astigmatism when a larger wound is necessary to place a primary or secondary polymethyl methacrylate (PMMA) lens. 6 Methods This is a retrospective longitudinal study.…”

“…[5][6][7][8][9][10][11][12][13][14][15][16] Bradfield and colleagues 5 reported 106 eyes in which suture induced astigmatism after a small (3.0 mm) clear corneal incision relaxed to 0.76 D by 3 months. The only report in the literature involving a larger corneal wound (6.5 mm) includes a report on 10 eyes, including 6 associated with corneal lacerations, by Brown and colleagues 6 in which early postoperative astigmatism of 6.71 AE 1.63 D resolved to 1.93 AE 1.48 D by 31-45 days.…”

Catarata pediátrica pós-trauma

“…No entanto, o nível de significância foi maior para os olhos submetidos ao tratamento cirúrgico (p<0,001) quando comparados com os olhos submetidos ao tratamento clínico (p=0,043). Diversos trabalhos na literatura apontam resultados visuais satisfatórios com implante de lente intra-ocular no tratamento da catarata traumática em crianças (2,(5)(6)(8)(9)(10)(11)(12) . O implante de LIO de câmara posterior oferece vantagens por ser um método permanente de correção óptica, fornece uma imagem retiniana estável e provoca aniseiconia mínima.…”