Posterior chamber intraocular lens use in children
Journal of Pediatric Ophthalmology and Strabismus
Purpose: The authors report on the efficacy of intraocular lens implantation during pediatric cataract surgery and the results of a consecutive series of intraocular lens implantations in children. Methods: Twenty-one children underwent implantation of intraocular lenses in 23 eyes. Twenty-one surgeries were primary implantations immediately following anterior lensectomy. Two surgeries were secondary implantations. Primary posterior capsulectomy was performed in 18 of 21 primary implantations. All but two eyes underwent a primary anterior vitrectomy. Topical prednisolone acetate was administered in all cases. Oral prednisone was administered in all cases. Oral prednisone was administered in 17 of 23 cases. Pre- and postoperative visual acuity, cycloplegic refraction, and postoperative complications related to inflammation such as intraocular lens (IOL) capture, IOL decentration, and posterior capsule opacification were examined. Results: Eighteen of 23 eyes have achieved a visual acuity of 20/40 or better. None of the cases in which oral prednisone was used developed complications related to postoperative inflammation. One of the six cases (17%) in which oral prednisone was not used developed such complications. Conclusion: Intraocular lens implantation accompanied by primary posterior capsulectomy, anterior vitrectomy, and management of postoperative inflammation appears to provide appropriate and safe optical rehabilitation children.
Cavallaro, B., Madigan, W., O'Hara, M., Kramer, K., & Bauman, W. (1998). Posterior chamber intraocular lens use in children. Journal of Pediatric Ophthalmology and Strabismus, 35 (5). Retrieved from https://hsrc.himmelfarb.gwu.edu/smhs_ophthalm_facpubs/240