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Posterior chamber intraocular lens use in children
B E Cavallaro1, W P Madigan, M A O'Hara
1Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.
Insights
Pediatric cataract surgery with intraocular lens (IOL) implantation, including posterior capsulectomy and anterior vitrectomy, safely rehabilitates vision. Systemic corticosteroids effectively reduce postoperative inflammation and complications.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Cataract surgery in children presents unique challenges.
- Intraocular lens (IOL) implantation is a key component of visual rehabilitation.
Purpose of the Study:
- To evaluate the efficacy and safety of intraocular lens implantation in pediatric cataract surgery.
- To assess visual outcomes and postoperative complications.
Main Methods:
- A series of 23 intraocular lens implantations in 21 children undergoing cataract surgery.
- Procedures included anterior lensectomy, primary posterior capsulectomy, and anterior vitrectomy.
- Postoperative inflammation management with topical and oral corticosteroids was analyzed.
Main Results:
- 18 of 23 eyes achieved a visual acuity of 20/40 or better.
- No postoperative inflammatory complications occurred in eyes receiving oral prednisone.
- 17% of eyes not receiving oral prednisone experienced inflammatory complications.
Conclusions:
- Intraocular lens implantation combined with specific surgical techniques and inflammation management is safe and effective for pediatric cataract patients.
- Systemic corticosteroid use appears crucial in preventing postoperative inflammatory complications.
Purpose:
The authors report on the efficacy of intraocular lens implantation during pediatric cataract surgery and the results of a consecutive series of intraocular lens implantation in children.
Methods:
Twenty-one children underwent implantation of intraocular lenses in 23 eyes. Twenty-one surgeries were primary implantation immediately following anterior lensectomy. Two surgeries were secondary implantations. Primary posterior capsulectomy was performed in 18 of 21 primary implantations. All but two eyes underwent a primary anterior vitrectomy. Topical prednisolone acetate was administered in all cases. Oral prednisone was administered in 17 of 23 cases. Pre- and postoperative visual acuity, cycloplegic refraction, and postoperative complications related to inflammation such as intraocular lens (IOL) capture, IOL decentration, and posterior capsule opacification were examined.
Results:
Eighteen of 23 eyes have achieved a visual acuity of 20/40 or better. None of the cases in which oral prednisone was used developed complications related to postoperative inflammation. One of the six cases (17%) in which oral prednisone was not used developed such complications.
Conclusion:
Intracular lens implantation accompanied by primary posterior capsulectomy, anterior vitrectomy, and management of postoperative inflammation appears to provide appropriate and safe optical rehabilitation in children.