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Abstract #15826 Published in IGR 2-3
Visual outcome and complications of bilateral intraocular lens implantation in children(1)
O'Keefe M; Mulvihill A; Yeoh PLJournal of Cataract and Refractive Surgery 2000; 26: 1758-1764
To determine the safety and efficacy of bilateral intraocular lens (IOL) implantation in children. Tertiary referral pediatric ophthalmology department. This retrospective study comprised 13 children (26 eyes) who had bilateral cataract surgery with IOL implantation. Patients were divided into two groups: congenital cases, diagnosed during the first year of life, and developmental cases, diagnosed after one year of age. All patients had small incision phacoemulsification with primary implantation of a poly(methyl methacrylate) or a foldable acrylic IOL. Primary posterior capsulotomy was performed in 16 eyes (61.5%). Age at surgery ranged from one week to just under eight years. Seven patients (53.8%) had a systemic diagnosis: Down's syndrome (n = 4); developmental delay or cerebral atrophy (n = 3). Five children with systemic problems could not cooperate with formal vision testing; two could fix and follow bilaterally, and three had central, steady, and maintained vision bilaterally. In the congenital group, 37.5% of eyes attained a visual acuity of 20/20 and 87.5%, 20/120 or better. In the developmental group, formal vision testing was possible in four children. Five eyes (83.3%) attained a visual acuity of 20/40 or better. Thirteen eyes (50.0%) required posterior capsulotomy. Primary posterior capsulotomy reduced the incidence of posterior capsule opacification (PCO), but there was no correlation between PCO and IOL material. One patient developed glaucoma bilaterally. Bilateral IOL implantation was safe and produced good visual results in children of all ages with bilateral cataract.
Dr. M. O'Keefe, Eye Department, The Children's Hospital, Dublin, Ireland
Classification:
12.12 Cataract extraction (Part of: 12 Surgical treatment)
