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Congenital cataract management with toric IOL implantation in paediatric cases

Poster Details

First Author: Y.Takhtaev RUSSIA

Co Author(s):    E. Panyutina   E. Somov   S. Takhtaev              

Abstract Details


To analyse results of cataract surgery in children with inherital cataract with implantation of different types of Toric IOL.


IRTC Fyodorov "Eye Microsurgery" State Institute, Saint-Petersburg branch. North-Western State Medical University, Saint-Petersburg, Russia


15 eyes of 9 patients aged 4-14 years with inherital cataract and corneal astigmatism underwent cataract surgery with primary Toric IOL implantation. Mean corneal astigmatism in all study groups was 1,78+/-0,44 Dpi. In one cases of Marfan syndrome child presented significant lens subluxation and astigmatism of 3,0 Dpi in both eyes. Aiming refraction was Hm 1,0 Dpi for patients under 7 y.o. and emmetropia for older patients. All patients had 2.2 mm phaco aspiration with manual posterior capsulorhexis 4.0 mm diameter before IOL implantation. AcrySof Toric T3 -T6 and Acrysof Restor Toric T2-T5 models were implanted to correct aphakia.


All cases were complications free. In group with initial BCVA 0,07+/-0,02 we observed progression of visual function that reached 0,5+/-0,1 BCVA in 1 year follow up. In group with initial BCVA 0,35+/-0,13 one year post-op results were mean BCVA 0,77+/-0,21. All results were statistically significant. Using pleoptic treatment after surgery we received stereoscopic vision in all patients. Residual mean astigmatism in all groups was 0,58+/-0,26 and was statistically significant. Slit lamp photo method was used to control IOL stability post-op and showed no dislocation from axis in all cases except 1 case with 10 degrees IOL rotation.


Acrysof Toric and Acrysof Restor Toric IOLs allow to improve visual functions in paediatric cases, correct most of preexisting corneal astigmatism and provide high rotational stability in one year follow-up.

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