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Abstract #26709 Published in IGR 12-3
Comparison of complications of cataract extraction with and without IOL implantation in children younger than 1 year of age
Ariss MM; Taban M; Crowe S; Traboulsi EIJournal of AAPOS 2009; 13: 10
Introduction: Although IOL implantation has been used in patients undergoing cataract surgery younger than 1 year of age, its complications compared with those of simple aphakia need more study. Methods: We reviewed the records of children younger than 1 year of age who underwent cataract surgery between 1997 and 2007. We excluded patients enrolled in the Infant Aphakia Treatment Study. Results: We found that 18 eyes of 12 patients younger than 6 months of age had IOLs. Elschnig pearls occurred in 7 eyes. One eye had anterior synechiae requiring synechiolysis. Glaucoma occurred in one eye. Thirty-six eyes of 24 patients younger than 6 months were left aphakic. Glaucoma occurred in 11 eyes: 3 required trabeculectomy and 3 required valve devices. Elschnig pearls requiring surgical intervention occurred in 6 eyes. A retinal detachment occurred in one eye. 1 PHPV eye became phthisical. 1 eye underwent an iridectomy for pupillary block. Another eye underwent synechiolysis for posterior synechiae. Ten eyes of 7 patients older than 6 months of age had IOLs. Elschnig pearls occurred in 2 eyes; wound dehiscence in 1 eye and fibrin in the anterior chamber of the fellow operated eye (both due to trauma) required surgical intervention. 3 eyes of 3 patients older than 6 months of age were left aphakic. None had any complications. Conclusions: Glaucoma and other complications appear to occur more frequently in patients operated on before 6 months of age when left aphakic. Patients with IOLs are more likely to require surgical removal of Elschnig pearls that obscure the visual axis.
M.M. Ariss.
Classification:
9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
