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Abstract #6417 Published in IGR 3-2
Outcome of lens aspiration and intraocular lens implantation in child aged 5 years and under
Cassidy L; Rahi J; Nischal K; Russell-Eggitt I; Taylor DBritish Journal of Ophthalmology 2001; 85: 540-542
AIMS: To determine the visual outcome and complications of lens aspiration with intraocular lens (IOL) implantation in children aged five years and under. METHODS: The hospital notes of all children aged five years and under, who had undergone lens aspiration with IOL implantation between January 1994 and September 1998, and for whom follow-up data of at least one year were available, were reviewed. RESULTS: Of 50 children who underwent surgery, 45 were eligible based on the follow-up criteria, 34 children had bilateral cataracts and, of these, 30 had surgery on both eyes. Cataract was unilateral in 11 cases; thus, 75 eyes of 45 children had surgery. Cataracts were congenital in 28 cases, juvenile in 16, and traumatic in one case. The median age at surgery was 39 months (range, 11-70 months). Follow-up ranged from 12-64 months (median, 36 months). Of 34 children with bilateral disease, 25 (73.5%) had a final best corrected visual acuity of 6/12 or better, while seven (20.5%) achieved 6/18 or less; in one child, the vision improved from UCUSUM to CSM, but another, who had only one eye operated on, was unable to fix or follow with this eye preoperatively or two years postoperatively. Of 11 children with unilateral cataract, five (45.5%) had a final best corrected visual acuity of 6/12 or better, and six (54.5%) 6/18 or less. A mild fibrinous uveitis occurred in 20 (28.2%) eyes in the immediate postoperative period, but resolved with topical steroids. One child had a vitreous wick postoperatively, requiring surgical division. Glaucoma, endophthalmitis, or retinal detachment have not been observed so far in any patient postoperatively. CONCLUSIONS: From this series, the authors suggest that, in children aged five years and under, lens aspiration with IOL implantation is a safe procedure, with a good visual outcome in the short term. Further studies are needed to investigate these outcomes in the long term.
Mr D. Taylor, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK. DSIT@btinternet.com
Classification:
9.1.4 Other (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
9.4.4.2 Glaucomas associated with cataracts (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
