Posterior chamber intraocular lens use in children

Brian E. Cavallaro, William P. Madigan, Mary A O'Hara, Kenyon K. Kramer, Wendall C. Bauman

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

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 implantations in children. Methods: Twenty-one children underwent implantation of intraocular lenses in 23 eyes. Twenty-one surgeries were primary implantations 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 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: Intraocular lens implantation accompanied by primary posterior capsulectomy, anterior vitrectomy, and management of postoperative inflammation appears to provide appropriate and safe optical rehabilitation children.

Original languageEnglish (US)
Pages (from-to)254-263
Number of pages10
JournalJournal of Pediatric Ophthalmology and Strabismus
Volume35
Issue number5
StatePublished - Sep 1998
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health

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    Cavallaro, B. E., Madigan, W. P., O'Hara, M. A., Kramer, K. K., & Bauman, W. C. (1998). Posterior chamber intraocular lens use in children. Journal of Pediatric Ophthalmology and Strabismus, 35(5), 254-263.