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Long-term results after primary intraocular lens implantation in children operated less than two years of age for congenital cataract

Poster Details

First Author: J.Sukhija INDIA

Co Author(s):    J. Ram   N. Gupta   A. Sawhney   S. Kaur     

Abstract Details



Purpose:

To study the long term outcome of cataract surgery with primary intraocular lens (IOL) in children less than 2 years

Setting:

Tertiary Eye care Centre

Methods:

Retrospective analysis of bilateral cases that were operated before 2 years age for congenital cataract. All underwent primary posterior capsulotomy with anterior vitrectomy and primary IOL implantation. Only those with a follow up of at least 8 years were evaluated.

Results:

Twenty six eyes of 13 children with bilateral cataract met the inclusion criteria. Average age at surgery was 14.15 months with mean follow up of 102 months. Average preoperative axial length was 19.93 mm. There was a refractive shift from a mean spherical equivalent of 1.64 dioptres at 2 weeks after surgery to - 1.42 dioptres measured at last follow up. Twenty four eyes out of 26(92%) achieved final visual acuity of 6/18 or more at last follow up with 19/ 26(73%) having acuity of 6/12 or greater. Raised IOP was documented in one eye only. Average axial length recorded at last follow up was 22.21 mm.

Conclusions:

Primary intraocular lens implantation in children less than 2 years is a safe surgical procedure with excellent long term results. The myopic shift is well controlled and final visual acuity achieved is reasonably good. FINANCIAL INTEREST: NONE

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