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Secondary pseudophakia (IOL) in paediatric patients after congenital cataract surgery

Poster Details

First Author: E.Filipek POLAND

Co Author(s):    E. Mrukwa-Kominek   M. Forminska-Kapuscik   L. Nawrocka   D. Barchanowska     

Abstract Details


To report the outcome of secondary posterior chamber foldable intraocular lens implantation (IOL) in pediatric patients after congenital cataract surgery


Clinical studies performed in Clinic of Pediatric Ophthalmology, University Centre of Ophthalmology and Oncology Medical University of Silesia in Katowice, School of Medicine in Katowice Head of the Department: dr hab. n. med. Erita Filipek


Fifty eyes of 31 patients - 11 girls and 20 boys aged from from 2.5 to 10.7 years (mean 5.0) were included in the review. The age of children at the cataract surgery was from 3 to 30 months (mean 6,9) and moment of implantation was from 7 to 82 months (mean 32,0). Follow-up time was from 5 to 96 months(41,1). Visual acuity (CDVA, CNVA), refractive error, optical axis transparency and eyeballs position were examined.


Best CDVA was from 0,02 to 1,0 (mean 0.3), and for CNVA from 6.0 to 0,5 (mean 2.4 Snellen). Refractive error was mean +15,17Dsph before surgery and +2,01Dsph in the observation period. Mean power of the IOL 23D. In all eyes optical axis was transparent. Esotropia ocurred in 15 children, exotropia in 4 case, nystagmus in 13 patients. Strabismus correction surgery was performed in 7 eyes.


Secondary implantation of foldable intraocular lenses in the sulcus is a safe and effective method to correct aphakia after congenital cataract surgery in carefully selected pediatric patients. FINANCIAL DISCLOUSRE: NONE

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