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Lens implantation in children.

A T van Balen¹, F D Koole

¹Department of Ophthalmology, Free University Hospital, Amsterdam, The Netherlands.

Ophthalmic Paediatrics and Genetics

|July 1, 1988

Summary

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Lens implantation in children over two years old does not require lens replacement. However, long-term follow-up shows a slight visual function decrease, necessitating strict indications for lens implantation.

Area of Science:

Ophthalmology
Pediatric Ophthalmology
Intraocular Lens Implantation

Background:

Lens implantation in children addresses refractive errors and visual development.
Concerns exist regarding the long-term stability and visual outcomes of implanted lenses in pediatric patients.

Purpose of the Study:

To address concerns regarding the necessity of lens size and strength adjustments after two years of age in pediatric lens implantation.
To evaluate the long-term visual function following Binkhorst 2-platinum loop lens implantation for traumatic cataracts in children.

Main Methods:

Analysis of pediatric cases undergoing lens implantation.
Long-term follow-up (over ten years) of patients with Binkhorst 2-platinum loop lenses for traumatic cataracts.

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Main Results:

Lens size and strength remain stable after the second year of life, negating the need for adjustments.
A slight decrease in visual function was observed in long-term follow-up of Binkhorst lenses for traumatic cataracts.

Conclusions:

Pediatric lens implantation after age two does not require subsequent lens modification.
While posterior chamber lenses may have fewer complications, strict indications for lens implantation remain crucial due to potential long-term visual function decline.