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Secondary intraocular lens implantation in children with aphakia

Poster Details

First Author: H.Simsek TURKEY

Co Author(s):    G. Kaya   Y. Yılmaz           

Abstract Details



Purpose:

To report the results of secondary intraocular lens (IOL) implantation in children with aphakia.

Setting:

Dunya Eye Hospital ,Department of Ophthalmologyi,Istanbul, Turkey

Methods:

The records of children with aphakia who had secondary IOL implantation between April 2003 and April 2013 were reviewed retrospectively. Traumatic cases with serious pathology, except for superficial corneal scar, were not included in the study. The cases were evaluated in terms of complications and visual functions.

Results:

Thirty-eight eyes of 2O patients (10 male, 10 female) were included in the study. The causes of aphakia were traumatic cataract in 10eyes (50%) and congenital cataract in 10 eyes (50%). In 10 eyes (50%) with adequatecapsular support, IOL was placed in the ciliary sulcus (Group 1), whereas in 10eyes (50%) without adequate capsular support, scleral fixated IOL implantation was performed (Group 2). The mean age at the time of primary cataract surgery was 2.5 years in Group 1 and 6 .5 years in Group 2 (p=0.007). The mean age at the time of secondary IOL implantation was 6 years and 10years in groups 1 and 2, respectively(p=0.009). After secondary IOL implantation, IOL decentration was detected in 2 (13.3%) cases of Group 1, and in 1(4.3%) case of Group 2 (p=0.550). Moreover, inflammation in 4 (17.4%) (p=0.013), pupillary irregularity in 3 (3%)(p=0.026), and suture erosion in 2 (8.7%) (p=0.509) cases ofGroup 2 were observed. Visual acuity improvement was obtained in 46.7% of Group 1 cases and in 56.5% of Group 2 cases (p=0.741).

Conclusions:

Secondary IOL implantation with either ciliary sulcus or scleral fixation is an effective procedure for optical rehabilitation in children with aphakia. To make a definite conclusion, prospective studies comparing different surgical techniques in larger series and with longer follow-up periods are neede FINANCIAL INTEREST: NONE

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