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. 2004 Nov;88(11):1387-90.
doi: 10.1136/bjo.2004.045609.

Optotype acuity and re-operation rate after unilateral cataract surgery during the first 6 months of life with or without IOL implantation

S R Lambert  1 , M Lynn, C Drews-Botsch, L DuBois, D A Plager, N B Medow, M E Wilson, E G Buckley
Affiliations

Optotype acuity and re-operation rate after unilateral cataract surgery during the first 6 months of life with or without IOL implantation

S R Lambert et al. Br J Ophthalmol. 2004 Nov.

Abstract

Aims: To compare optotype acuities and re-operation rates in children corrected with a contact lens (CL) compared with an intraocular lens (IOL) following unilateral cataract extraction during infancy in a non-randomised, retrospective case series.

Methods: 25 infants with a unilateral congenital cataract underwent cataract surgery with (IOL group, n = 12) or without (CL group, n = 13) IOL implantation when <7 months of age. Optotype acuities were assessed in 19 of these children at a mean age of 4.3 years (range 3.3-5.5 years). The number of re-operations were assessed in 21 children.

Results: The visual acuity results were similar in the two treatment groups (p = 0.99); however, two of the four (50%) children in the IOL group compared with two of the seven (28%) children in the CL group undergoing surgery during the first 6 weeks of life had 20/40 or better visual acuity. The children in the IOL group had more re-operations than the children in the CL group (mean 1.1 v 0.36). Most of the re-operations in the IOL group were membranectomies performed during the first year of life (median 8.0 months) whereas all of the re-operations in the CL group were the implantation of a secondary IOL later in childhood (mean 2.2 years).

Conclusion: Optotype acuities were similar for the children corrected with a CL compared with IOL, while the children in the IOL group underwent more re-operations .

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References

    1. Lambert SR, Drack AV. Infantile cataracts. Surv Ophthalmol 1996;40:427–588 correction 41: 1. - PubMed
    1. Dahan E , Salmenson BD. Pseudophakia in children: precautions, technique, and feasibility. J Cataract Refract Surg 1990;16:75–82. - PubMed
    1. Dahan E , Drusedau MUH. Choice of lens and dioptric power in pediatric pseudophakia. J Cataract Refract Surg 1997;23:618–23. - PubMed
    1. Lambert SR, Buckley EG, Plager DA, et al. Unilateral intraocular lens implantation during the first 6 months of life. J AAPOS 1999;3:344–9. - PubMed
    1. Wilson ME, Peterseim MW, Englert JA, et al. Pseudophakia and polypseudophakia in the first year of life. J AAPOS 2001;5:238–45. - PubMed

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