Visual axis opacification after AcrySof intraocular lens implantation in children

Abstract

AcrySof IOL implantation with appropriate management of the posterior capsule maintained a clear visual axis in 60.2% of eyes. Of the 39.8% of eyes with visual axis opacification, 13.6% had visually significant opacification and required a secondary procedure.

Advances in the management of congenital and infantile cataract

“…56 In children undergoing acrylic lens implantation without a primary capsulotomy, posterior capsule opacity occurs in significantly more eyes than in those children undergoing primary capsulotomy and anterior vitrectomy. 57,58 In infants whose posterior capsule had been retained, performance of a Nd:YAG capsulotomy was associated with high rates of recurrence of visual axis opacification across the anterior hylaoid face. 59 In the absence of an anterior vitrectomy, a primary posterior capsulotomy is probably not enough to prevent visual axis opacification.…”

Pediatric cataract surgery with hydrophilic acrylic intraocular lens implantation in Nepalese children

“…The rate of visual axis opacification in our study was lower than in the studies done by Kleinmann et al using hydrophilic lenses and Vasavada et al using hydrophobic acrylic lenses. 9,19 Contrary to the study done by Kleinmann et al, we have excluded traumatic cataracts. There were 12 children (6.4%) who needed second intervention.…”

How should blindness in children be managed?

“…Concerning IOL type, there are a number of short-term reports of use of foldable hydrophobic acrylic in children. [7][8][9] They seem to cause less acute postoperative fibrinous uveitis 10 and are easier to insert into small capsular bags. The chemical structure of foldable acrylic is similar to polymethylmethacrylate (PMMA), but some paediatric ophthalmologists still feel that is safer to continue with the latter because the IOL has to last much longer in children than adults and much longer-term follow-up data are available for rigid PMMA than for the newer foldable materials.…”