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Optic capture of the AcrySof intraocular lens in pediatric cataract surgery
1Department of Ophthalmology, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina.
Purpose:
To assess the results of acrylic intraocular lens (IOL) optic capture in children with cataract.
Setting:
Department of Ophthalmology, Hospital de Clínicas José de San Martín, and Instituto de la Vision, School of Medicine, University of Buenos Aires, Argentina.
Methods:
Eight children had cataract surgery. After lens and cortex aspiration, an AcrySof (Alcon) IOL was implanted in the bag. A primary posterior capsulorhexis was performed. The optic edges were slipped through the posterior capsule leaflets. Clarity of the visual axis, preoperative and postoperative best corrected visual acuities (BCVAs), and refraction were evaluated.
Results:
The visual axis remained clear in all cases. No case required a secondary procedure. The mean preoperative BCVA was 0.06 +/- 0.06 (SD). Postoperatively, the mean BCVA was 0.88 +/- 0.11 and the mean spherical equivalent, +0.62 +/- 1.31. The mean follow-up was 28.9 +/- 5.3 months.
Conclusion:
Results show that the optic of an acrylic IOL may be captured through a posterior capsulorhexis in pediatric cataract surgery, combining the advantages of optic capture with a smaller incision and a decreased inflammatory response.