Visual outcomes and complications of posterior chamber intraocular lens implantation in the first year of life

O’Keefe, Michael; Fenton, Sinead; Lanigan, Bernadette

doi:10.1016/s0886-3350(01)00973-7

Cited by 91 publications

(82 citation statements)

References 15 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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“…Notably, most myopic shift occurs in the first 3 years of life. 6 Therefore, a child who was initially a poor CTL candidate or CTL-intolerant, spectacle intolerant, or suffering from anisometropic amblyopia not successfully managed with penalization will likely still be so when myopic shift occurs. IOL exchange should be considered an option to mitigate adverse refractive outcomes.…”

Section: Discussionmentioning

confidence: 99%

Intraocular lens exchange for high myopia in pseudophakic children

Kraus

Trivedi

Wilson

2016

Eye

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Purpose The purpose of this study was to examine the preoperative factors and postoperative outcomes following intraocular lens (IOL) exchange for high myopia in pseudophakic children. Methods The medical records of all patients undergoing IOL exchange for high myopia were retrospectively reviewed. Results A total of 15 eyes were identified that had undergone an IOL exchange for myopic shift. Average age of cataract extraction (CE) was 5.4 months. In all, 10/15 had a unilateral cataract. IOL exchange usually occurred at an average of 6 years following cataract surgery. The average spherical equivalent (SE) of the refractive error at that time was − 9.6 D. Following IOL exchange, SE was − 1.3 D. A two-line reduction in best-corrected visual acuity was observed in 1/13 of our patients for whom pre-and post-exchange data were available. The average axial length (AL) of the eye undergoing the IOL exchange was 24.0 mm, average AL in the non-operative eye was 22.1 mm. On average, the operative eyes grew 4.4 mm and the non-operative eyes 3.02 mm. No adverse events were seen in the operative eyes. Conclusion Younger age at the time of CE creates a greater likelihood of AL elongation and predisposes a child to myopic shift. IOL exchange should be considered an option to reduce anisometropia and associated aniseikonia to improve visual outcomes. Successful visual rehabilitation and predictable post-exchange refractions were seen with our patients.

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“…Em um estudo onde foram implantadas lentes intra-oculares em crianças menores que 1 ano de idade, os autores observaram uma média de 6 dioptrias de miopização pós-operatória nos 41 meses de seguimento (31) . Através de um seguimento pós-operatório de 3 anos de 52 olhos operados, os autores observaram uma miopização de 5,96 dioptrias em crianças operadas com idade inferior a 2 anos.…”

Section: Discussionunclassified

Avaliação da eficácia da facectomia com implante de lente intra-ocular na infância

Maia¹,

Lima²,

Baikoff³

2005

Arq. Bras. Oftalmol.

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Visual outcomes and complications of posterior chamber intraocular lens implantation in the first year of life

Cited by 91 publications

References 15 publications

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

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

Intraocular lens exchange for high myopia in pseudophakic children

Avaliação da eficácia da facectomia com implante de lente intra-ocular na infância

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