Primary intraocular lens implantation in the first two years of life: safety profile and visual results.
Indian J Ophthalmol
; 2007 May-Jun; 55(3): 185-9
Article
in En
| IMSEAR
| ID: sea-71849
ABSTRACT
PURPOSE:
To study the safety profile of primary intraocular lens (IOL) implantation in the first two years of life. MATERIALS ANDMETHODS:
A prospective nonrandomized, interventional study was done at the tertiary care center. Forty-five eyes of 27 children (aged three weeks to two years) with congenital cataract who underwent phacoaspiration with continuous curvilinear capsulorrhexis combined with primary posterior capsulotomy and anterior vitrectomy with in the bag placement of IOL at primary surgery were included. Outcome measures were clarity of visual axis, postoperative inflammation, fixation pattern and retinoscopy.RESULTS:
The mean IOL power was 23.95 +/- 0.87 diopter (D) (range 22D to 27D). Follow-up ranged from 12 months to 48 months (mean 18 +/- 9.13 months). In infants, hypermetropia decreased from 6.60D +/- 2.64D at one week postoperatively to 3.03D +/- 2.53D at one year following surgery and 4.78D +/- 1.93D to 2.56D +/- 1.5D in children older than one year at the time of surgery. Re-opacification of the central visual axis was observed in six eyes (13.3%). Significant posterior synechiae due to irido-capsular adhesion was seen in seven eyes (15.6%). Five of these seven eyes also had significant posterior capsular opacification.CONCLUSIONS:
Meticulously performed primary IOL implantation and primary posterior capsulorrhexis with anterior vitrectomy in the first two years of life is a safe and effective method of aphakic correction.
Full text:
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Index:
IMSEAR
Main subject:
Postoperative Period
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Recurrence
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Time Factors
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Vision, Ocular
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Vitrectomy
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Cataract
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Female
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Humans
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Male
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Infant, Newborn
Type of study:
Observational_studies
Language:
En
Journal:
Indian J Ophthalmol
Year:
2007
Type:
Article