Multifocal intraocular lens implantation in pediatric cataract surgery
| Autor: | Philipp C. Jacobi, Walter Konen, Thomas S. Dietlein |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Adolescent genetic structures medicine.medical_treatment Eye disease Forceps Visual Acuity Vitrectomy Intraocular lens Cataract Postoperative Complications Lens Implantation Intraocular Ophthalmology medicine Humans Prospective Studies Child Capsulorhexis Lenses Intraocular Depth Perception business.industry Multifocal intraocular lens medicine.disease eye diseases Surgery Eyeglasses Treatment Outcome Child Preschool Female sense organs Safety medicine.symptom business Pseudophakia Follow-Up Studies |
| Zdroj: | Ophthalmology. 108:1375-1380 |
| ISSN: | 0161-6420 |
| Popis: | Objective To evaluate implantation of a zonal-progressive multifocal intraocular lens (IOL) in children. Study design Prospective, noncomparative, interventional case series. Participants Thirty-five eyes of 26 pediatric patients aged 2 to 14 years with multifocal IOL implantation at one institution with more than 1 year of follow-up. Interventions Standard surgical procedure comprised an anterior capsulorrhexis, lens material aspiration via two side-port incisions, temporal tunnel incision, and multifocal IOL (SA40-N; Allergan, Irvine, CA) implantation in all eyes. In 24 eyes (68%), a 5-mm posterior capsulorrhexis was created with forceps, followed by an anterior vitrectomy in 19 of those eyes (54%). Results Twenty-six patients (35 eyes) had an average follow-up of 27.4 ± 12.7 months (range, 12–58 months). At last follow-up, best-corrected distance visual acuity improved significantly ( P = 0.001), 71% of eyes with a visual acuity of 20/40 or better and 31% of eyes with a visual acuity of 20/25 or better. In the 9 bilateral cases, spectacle dependency was moderate, with only 2 children (22%) reporting the permanent use of an additional near correction. The remaining children were either using distance-correction only (4 patients; 44%) or no glasses at all (3 patients; 33%). Stereopsis also improved significantly after multifocal IOL implantation ( P = 0.01). Sixteen eyes (46%) experienced obscuration of the entrance pupil that required intervention, with 10 requiring a second intraocular surgery. Four eyes required an anterior membranectomy for persistent fibrinous membrane. Intraocular lens decentration requiring surgical intervention developed in six eyes. Conclusions Multifocal IOL implantation is a viable alternative to monofocal pseudophakia in this age group. |
| Databáze: | OpenAIRE |
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