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First Author: A.Vahtramäe ESTONIA
Co Author(s): R. Rebane K. Palumaa
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To describe a case of a patient with congenital cataracts and the secondary bag-in-lens intraocular lens (IOL) implantation. This is the first patient implanted with this kind of IOLs in Estonia.
Current opinions in congenital cataract surgery and IOL implantation in different centers were reviewed through literature to fit this case.
The patient was diagnosed with bilateral congenital cataract when she was 3 months old and the operation took place bilaterally in 2 weeks time since the diagnose. She was left aphakic, aphakic spectacles and contact lenses (CL) were prescribed. The girls mother has also been operated on because of congenital cataracts and she has sensory nystagmus. This caused her difficulties in placing CL in to the childs eyes. When the patient got 3 years old, prof. Marie-José Tassignon was invited to Estonia as a guest surgeon to perform secondary IOL implantation with the bag-in-lens technique.
After the IOL implantation into both eyes, the patients best corrected visual acuity (BCVA) has improved with no further need to use CL.
Secondary bag-in-lens IOL implantation is a safe procedure that requires good surgical skills and experience, then providing good anatomical results and visual function.