Comparative analysis of visual outcomes of multifocal and monofocal intraocular lenses in congenital cataract surgery
| Autor: | Giancarlo Iarossi, Matteo Federici, Luca Buzzonetti, Paola Valente, Claudia Benassi, Sergio Petroni, Carlo Maria De Sanctis |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Refractive error
medicine.medical_specialty genetic structures medicine.medical_treatment Cataract Extraction Prosthesis Design Cataract Group B Lens Implantation Intraocular Ophthalmology medicine Humans In patient Child Strabismus Retrospective Studies Lenses Intraocular Phacoemulsification business.industry Significant difference Consecutive case series Cataract surgery medicine.disease eye diseases Sensory Systems Intraocular lenses Surgery sense organs business |
| Zdroj: | Journal of Cataract and Refractive Surgery. 48:56-60 |
| ISSN: | 1873-4502 0886-3350 |
| DOI: | 10.1097/j.jcrs.0000000000000705 |
| Popis: | To assess the impact on visual development of multifocal vs monofocal intraocular lenses (IOLs) implantation in children after congenital cataract surgery.Ophthalmology Department, Bambino Gesù Children's Hospital, Rome, Italy.Retrospective interventional consecutive case series.Records of 56 eyes of 43 pediatric patients who underwent congenital cataract surgery with phacoaspiration and simultaneous implantation of the IOL younger than 1 year were reviewed. Corrected distance visual acuity (CDVA), refractive error, and ocular motility disorders were evaluated at follow-up of greater than 4 years.32 multifocal (18 unilateral, Group A and 14 bilateral, Group B) and 24 monofocal (12 unilateral, Group C and 12 bilateral, Group D) IOLs were implanted. Mean follow-up was 6.67 years. Mean CDVA of the eyes with multifocal IOLs was 0.75 ± 0.46 logMAR in unilateral cataract surgery and 0.34 ± 0.25 logMAR in bilateral ones; with monofocal IOLs was 0.71 ± 0.52 logMAR in unilateral and 0.53 ± 0.43 logMAR in bilateral ones. No statistically significant difference in the CDVA between Groups A and B and Groups C and D were recorded. Final mean spherical equivalent was -3.88 ± 4.73 diopters (D); in Group A, it was -2.74 ± 4.22 D, in Group C was -1.08 ± 1.45 D, in Group B was -4.82 ± 4.64 D, and in Group D was -6.81 ± 4.61 D. The difference was statistically significant between Groups B and D (P = .01), but not between Groups A and C (P = .14). 26 patients (60.4%) showed postoperative strabismus. Surgical correction occurred more in patients with multifocal IOLs implanted (P = .038).Multifocal IOLs did not show significant advantages in visual development in children after congenital cataract extraction younger than 1 year when compared with monofocal IOLs. |
| Databáze: | OpenAIRE |
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