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Refractive shift in pseudophakic eyes during the second decade of life

Rupal H Trivedi1, M Edward Wilson, Dipankar Bandyopadhyay

  • 1Miles Center for Pediatric Ophthalmology, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, Charleston, South Carolina 29425-5536, USA. trivedi@musc.edu

Journal of Cataract and Refractive Surgery
|December 14, 2011
PubMed

Insights

Children

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Refractive Surgery

Background:

  • Children undergoing cataract surgery often receive intraocular lens (IOL) implantation.
  • Refractive development continues into adolescence, potentially affecting visual outcomes after IOL implantation.

Purpose of the Study:

  • To evaluate the refractive shift in pseudophakic eyes of children after their 10th birthday.

Main Methods:

  • A case series analyzed refractive data from 114 pseudophakic eyes in children with at least two refractions one year apart after age 10.
  • Regression analysis was used to predict postoperative refraction.

Main Results:

  • A significant myopic shift occurred in 86.8% of eyes, averaging -0.30 diopters per year.
  • Age at IOL implantation did not influence refractive shift, but differences were noted between racial groups.
  • Refractive shifts in operated eyes were comparable to fellow eyes in unilateral cases.

Conclusions:

  • Children experience continued myopic progression after age 10, impacting IOL selection and multifocal IOL use in adolescents.
  • These findings are crucial for optimizing IOL power calculations and managing visual outcomes in pediatric pseudophakic eyes.
Abstract

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