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Epikeratophakia for pediatric aphakia.

C G Kelley, R H Keates, R G Lembach

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |May 1, 1986
    PubMed
    Summary
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    Epikeratophakia successfully rehabilitated 11 children with aphakia, improving visual function without graft failures. This contact lens-alternative provided significant refractive correction and good spectacle visual acuity in pediatric patients.

    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology

    Background:

    • Aphakia in children presents a significant challenge for visual rehabilitation.
    • Contact lens intolerance is common in pediatric aphakic patients, limiting treatment options.

    Purpose of the Study:

    • To evaluate the efficacy of epikeratophakia for visual rehabilitation in contact lens-intolerant pediatric aphakic patients.
    • To assess refractive outcomes and visual acuity following epikeratophakia in this population.

    Main Methods:

    • Epikeratophakia was performed on 11 children (9 months to 14 years) with aphakia and contact lens intolerance.
    • Follow-up ranged from 5 to 12 months, with assessment of graft survival, refractive error, and visual acuity.

    Main Results:

    • No graft failures were observed in any of the 11 patients.

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  • An average of 93% of the desired refractive correction was achieved postoperatively.
  • Spectacle visual acuity averaged 20/50 in verbal children, with a range of 20/20 to 20/80.
  • Conclusions:

    • Epikeratophakia is a viable and effective treatment for monocular aphakia in pediatric patients intolerant to contact lenses.
    • The procedure demonstrated significant improvement in visual function and refractive outcomes in the studied cohort.