Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation

Brad D. Simons, R. Michael Siatkowski, Joyce C. Schiffman, John T. Flynn, Hilda Capo, Michelle Muñoz

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All IOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL- related or surgical complications, are the limiting factors in final visual outcome.

Original languageEnglish
Pages (from-to)118-124
Number of pages7
JournalJournal of Pediatric Ophthalmology and Strabismus
Volume36
Issue number3
StatePublished - May 1 1999

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Intraocular Lens Implantation
Amblyopia
Cataract Extraction
Pediatrics
Visual Acuity
Capsule Opacification
Intraocular Lenses
Rehabilitation
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health

Cite this

Simons, B. D., Siatkowski, R. M., Schiffman, J. C., Flynn, J. T., Capo, H., & Muñoz, M. (1999). Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation. Journal of Pediatric Ophthalmology and Strabismus, 36(3), 118-124.

Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation. / Simons, Brad D.; Siatkowski, R. Michael; Schiffman, Joyce C.; Flynn, John T.; Capo, Hilda; Muñoz, Michelle.

In: Journal of Pediatric Ophthalmology and Strabismus, Vol. 36, No. 3, 01.05.1999, p. 118-124.

Research output: Contribution to journalArticle

Simons, BD, Siatkowski, RM, Schiffman, JC, Flynn, JT, Capo, H & Muñoz, M 1999, 'Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation', Journal of Pediatric Ophthalmology and Strabismus, vol. 36, no. 3, pp. 118-124.
Simons, Brad D. ; Siatkowski, R. Michael ; Schiffman, Joyce C. ; Flynn, John T. ; Capo, Hilda ; Muñoz, Michelle. / Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation. In: Journal of Pediatric Ophthalmology and Strabismus. 1999 ; Vol. 36, No. 3. pp. 118-124.
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