Primary Intraocular Lens Implantation Versus Aphakia In Children Under 5 Years: Visual And Refractive Outcomes

To compare visual and refractive outcomes between primary intraocular lens implantation and aphakic correction in children under 5 years undergoing cataract surgery.

Tertiary pediatric ophthalmology unit.

Retrospective review of consecutive pediatric cataract cases under age 5. Patients were divided into primary IOL implantation versus aphakic correction groups. Outcomes evaluated included axial length growth, myopic shift, visual development, amblyopia therapy compliance, and need for secondary intervention.

Primary IOL provided faster visual rehabilitation. However, greater myopic shift was observed in younger age groups. Aphakic children required intensive optical maintenance. Overall visual outcomes were comparable when strict amblyopia therapy was followed.

Primary IOL implantation in carefully selected pediatric patients offers practical advantages, though refractive predictability remains age-dependent. Individualized planning is critical.