| Popis: |
Primary implantation of intraocular lenses (IOLs) was made in 9 children (16 eyes) after removal of cataract; secondary implantation was performed in 2 children (4 eyes) 3 and 4 years after diabetic cataract aspiration. After surgery, 4, 4, and 3 children were followed up 1, 2, and 3 years, respectively. Thirteen cases of secondary cataract were observed after primary implantation (16 eyes); secondary cataract was recorded in 100% of cases after implantation of polymethyl methaacrylate IOLs and hydrophilic "Centrflex" lenses and only in 57.1% after implantation of hydrophobic "Acrysof" lenses. The visual acuity was 0.48 +/- 0.14 after removal of secondary cataract and 0.88 +/- 0.11 after laser discission. Laser invention did not lead to the progression or occurrence of diabetic retinopathy (DR) in the late periods of a follow-up. Cataract removal with IOL implantation in children with insulin-dependent diabetes (IDD) yields high functional results. The postoperative follow-up did not demonstrate a significant increase in the severity and incidence of DR, which seems to be associated both with a good postoperative IDD compensation and preventive treatment. The use of the hydrophobic flexible lenses is more optimal to prevent the development of secondary cataract. |
