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Long-term outcomes of primary intraocular lens implantation for unilateral congenital cataract

Poster Details

First Author: R.Carelli ITALY

Co Author(s):    A. Magli   R. Forte   L. Rombetto   G. Magli     

Abstract Details



Purpose:

To evaluate long-term functional outcome of primary intraocular lens implantation for unilateral congenital cataract, to prevent visual deprivation and amblyopia.

Setting:

Pediatric Ophthalmology Unit of the University of Salerno (Italy), Pediatric Ophthalmology Unit of the University Federico ll of Naples (Italy), private practice - Gi.Ma Eye Center, Naples (ltaly)

Methods:

We retrospectively reviewed all patients with unilateral amblyogenic congenital cataract who had undergone cataract removal and simultaneous intraocular lens implantation between 1990 and 2010. Minimum follow up for inclusion was 48 months.

Results:

52 patients (28 females, 24 males, mean age at surgery 9.0±4.5 months, range 2-21 months) were included in this retrospective review. Mean follow-up was 100.7±57.0 months (range, 48-270 months). At last examination mean BCVA in the operated eyes was 0.65±0.4 (range, 0.04-1.3) LogMAR and 40 patients (76.9%) had strabismus. In patients undergoing surgery at an age >12 months BCVA was significantly lower (0.92±0.4 LogMAR versus 0.60±0.4 LogMAR, p=0.01) although development of myopic shift was less frequent (61.5% versus 43.5%, p=0.03). BCVA at last visit was higher in patients with a first stable pseudophakic SE between +1D and +3D (p=0.02).

Conclusions:

Worse final BCVA despite less frequent development of myopic shift was observed when surgery was performed after 12 months of age. A hyperopic correction in first stable pseudophakic SE seems advisable. FINANCIAL INTEREST: NONE

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