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Secondary intraocular lens implantation and results in childhood cataracts

Poster Details

First Author: A.Ozmen TURKEY

Co Author(s):    S. Kivanc   I. Incebiyik                 

Abstract Details


This study intends to evaluate clinical features, timing of surgery and complications of children, that are operated due to congenital cataract and followed by hydrophobic acrylic foldable intraocular lens (IOL) structure implantation.


Uludag University, Faculty of Medicine, Department of Ophthalmology


In this interventional case series, 59 eye of 42 patients to whom lens aspiration (primary surgery) is performed due to childhood cataracts under 2 years, and left aphakia and intraocular lens is placed to posterior chamber (secondary surgery) after the age of 2, in Uludag University,Department of Ophthalmology, between January 2005-September 2015 are analysed retrospectively with regard to clinical features, best corrected visual acuities (BCVA) before and after surgeries, refractive findings and surgical treatments. IOL is placed to ciliary sulcus in 40 eyes, and in the capsuler bag in 19 eyes.


Mean primary surgery age is determined to be 9.52 (1-23) months, mean secondary surgery age is determined to be 42.7 (24-156) months and mean IOL power is determined to be 25.7 (17.5-37) D. BCVA average of patients operated in the first 6 months postpartum are defined to be 0,5 , and operated between 6-24 months are defined to be 0.32 and statistical difference is found between two groups. The most common after surgery complications are glaucoma in 9 (%15) patients, anterior chamber reaction in 8 (%13.5) patients, IOL decentralisation in 6 (%10.1) patients and formation of synechiae 3 (%5.08) patients.


As a result, early surgery in childhood cataracts is quite valuable in terms of BCVA results and aphakia rehabilitation is a very important variable. Secondary IOL implantation is an effective, reliable and successful method

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