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First Author: O.Arslan TURKEY
Co Author(s): C. Arici S. Mangan M. Unal I. Toker E. Atalay
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To compare the results of 2 posterior chamber intraocular lens (PCIOL) implantation techniques in pediatric cataract surgery
Istanbul University Cerrahpasa School of Medicine Department of Ophthalmology.
Fifty-three eyes of 45 children with congenital or developmental cataract, aged 3 to 10 years (mean, 6.31 years), were included in this prospective, randomized study. In all cases, anterior capsulorhexis, lens aspiration, posterior continuous curvilinear capsulorhexis (PCCC) were performed. In group 1 (25 eyes of 20 children) PCIOL was performed with optic capture. In group 2 (28 eyes of 25 children) PCIOL was performed without optic capture. Best corrected visual acuity (BCVA), secondary opacification of the visual axis and complications were assessed.
The mean follow-up was 11,2 ±3,5 months (range 6 to 18 months). The visual axis remained clear in all eyes in group 1. Four eyes (14,3%) in group 2 had significant opacification of the visual axis. There was no significant difference between the 2 groups in best corrected visual acuity or complications (eg, anterior chamber reaction, fibrin formation, posterior synechia, significant IOL decentration).
PCIOL implantation with optic capture following PCCC is safe and effective procedure for prevention of secondary opacification of the visual axis in the absence of anterior vitrectomy.