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Visual functions in children after congenital cataract surgery and secondary foldable intraocular lens implantation (IOL): own results

Poster Details

First Author: E.Filipek POLAND

Co Author(s):    M. Formińska-Kapuścik   E. Mrukwa-Kominek   L. Nawrocka   E. Porwik     

Abstract Details



Purpose:

Evaluation of anatomical and functional state of eyes in children after congenital cataract surgery and secondary foldable intraocular lens implantation (IOL)

Setting:

Clinical studies performed in Clinic of Pediatric Ophthalmology, University Hospital No.5 of hte Medical University of Silesia in Katowice, Head of the Department: prof dr hab. n. med. Maria Formińska-Kapuścik

Methods:

Thirty two eyes of 20 patients - 6 girls and 14 boys aged from from 2.7 to 10.8 years (mean 5.6±1.8) were included in the review. The age of children at the cataract surgery was from 3 to 30 months and moment of implantation was from 7 to 70 months. Follow-up time was from 7 to 84 months. Visual acuity (CDVA, CNVA), intraocular pressure (IOP), axial length of eyeball (AL), refractive error, optical axis transparency and eyeballs position were examined.

Results:

Best CDVA was mean 0.3±0.2, and for CNVA 2.0±1.8. The values of IOP were normal mean 15,3(±0,37)mmHg. Mean axial length of eyeball was 21,64(±1,15)mm, refractive error was mean +1,5Dsph(±2,5). In all eyes optical axis was transparent. Esotropia ocurred in 13 children, exotropia in 1 case, nystagmus in 9 patients. Strabismus correction surgery was performed in 6 eyes.

Conclusions:

Secondary implantation of foldable intraocular lenses after congenital cataract surgery is a safe and effective method to correct aphakia in carefully selected pediatric patients. FINANCIAL INTEREST: NONE

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