Premium intraocular lenses in children

Area of Science:

• Ophthalmology
• Pediatric Optometry
• Biomedical Engineering

Background:

• Premium intraocular lenses (IOLs), including multifocal and toric types, are standard for adult cataract surgery.
• Pediatric IOL implantation presents unique challenges impacting visual development, requiring careful consideration.

Purpose of the Study:

• To review factors influencing visual outcomes of premium IOLs in pediatric patients.
• To analyze the impact of age, IOL power calculation, and specific IOL types on pediatric visual results.

Main Methods:

• A comprehensive literature review was conducted up to January 31, 2022.
• Included 17 studies (10 case series/interventional, 7 case reports) on pediatric multifocal or toric IOL implantation.
• Evaluated refractive outcomes, contrast sensitivity, stereopsis, and complications.

Main Results:

• All studies reported favorable refractive outcomes, though data was limited.
• Early multifocal IOL models had higher rates of decentration and opacification; newer models show improved safety.
• Toric IOLs demonstrated promising results across evaluated studies.

Conclusions:

• Premium IOLs show potential for pediatric use, with generally positive refractive results.
• Long-term data on refractive shift, capsular contraction, and amblyopia management require further investigation.