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

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

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26 Scopus citations

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 (US)
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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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

Cite this

Simons, B. D., Siatkowski, R. M., Schiffman, J. C., Flynn, J. T., Capó, 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.