Results of Bilateral Cataract Extraction with Posterior Chamber Intraocular Lens Implantation in Children
Identifieur interne : 003B42 ( Istex/Checkpoint ); précédent : 003B41; suivant : 003B43Results of Bilateral Cataract Extraction with Posterior Chamber Intraocular Lens Implantation in Children
Auteurs : Howard V. Gimbel ; Surendra Basti ; Maria Ferensowicz ; Brian M. DebroffSource :
- Ophthalmology [ 0161-6420 ] ; 1997.
Abstract
Objective: A retrospective study was undertaken to evaluate long-term anatomic and visual outcomes in eyes of children who underwent bilateral intraocular lens implantation.Design: The study design was a review of medical records of 24 children operated on for bilateral cataracts and posterior chamber-intraocular lenses.Participants: Twenty-four children operated on for bilateral cataracts by 1 surgeon between February 1980 and February 1995 were studied.Intervention: Cataract extraction with bilateral posterior chamber-intraocular lens implantation was performed.Main Outcome Measures: Best-corrected visual acuity, visual acuity without correction, intraocular pressure, manifest refraction, and any intraoperative or postoperative complications were measured.Results: At last follow-up (mean follow-up, 50.8 months; range, 10–149 months), the intraocular lens was in good position and the intraocular pressure was normal without medication in all eyes. Four years after surgery, 79.2% (19 of 24) of first eyes achieved a best-corrected visual acuity of 20/40 or better compared to 66.7% (16 of 24) of second eyes. No eye had any loss in best-corrected visual acuity. In first eyes of 3- to 8-year olds at the time of surgery, 73.3% (11 of 15) achieved a spherical equivalent within 2 diopters of the intended at 4 years after surgery compared to 80% of second eyes. In the 9- to 18-year-old group, 88.9% (8 of 9) of first eyes and 100% of second eyes achieved a spherical equivalent within 2 diopters of the intended at 4 years after surgery. Intraoperative and postoperative complications were minimal.Conclusions: Long-term anatomic and visual results have been gratifying in this series of patients with bilateral implants.
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DOI: 10.1016/S0161-6420(97)30033-5
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<author><name sortKey="Basti, Surendra" sort="Basti, Surendra" uniqKey="Basti S" first="Surendra" last="Basti">Surendra Basti</name>
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<author><name sortKey="Basti, Surendra" sort="Basti, Surendra" uniqKey="Basti S" first="Surendra" last="Basti">Surendra Basti</name>
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<front><div type="abstract" xml:lang="en">Objective: A retrospective study was undertaken to evaluate long-term anatomic and visual outcomes in eyes of children who underwent bilateral intraocular lens implantation.Design: The study design was a review of medical records of 24 children operated on for bilateral cataracts and posterior chamber-intraocular lenses.Participants: Twenty-four children operated on for bilateral cataracts by 1 surgeon between February 1980 and February 1995 were studied.Intervention: Cataract extraction with bilateral posterior chamber-intraocular lens implantation was performed.Main Outcome Measures: Best-corrected visual acuity, visual acuity without correction, intraocular pressure, manifest refraction, and any intraoperative or postoperative complications were measured.Results: At last follow-up (mean follow-up, 50.8 months; range, 10–149 months), the intraocular lens was in good position and the intraocular pressure was normal without medication in all eyes. Four years after surgery, 79.2% (19 of 24) of first eyes achieved a best-corrected visual acuity of 20/40 or better compared to 66.7% (16 of 24) of second eyes. No eye had any loss in best-corrected visual acuity. In first eyes of 3- to 8-year olds at the time of surgery, 73.3% (11 of 15) achieved a spherical equivalent within 2 diopters of the intended at 4 years after surgery compared to 80% of second eyes. In the 9- to 18-year-old group, 88.9% (8 of 9) of first eyes and 100% of second eyes achieved a spherical equivalent within 2 diopters of the intended at 4 years after surgery. Intraoperative and postoperative complications were minimal.Conclusions: Long-term anatomic and visual results have been gratifying in this series of patients with bilateral implants.</div>
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<name sortKey="Ferensowicz, Maria" sort="Ferensowicz, Maria" uniqKey="Ferensowicz M" first="Maria" last="Ferensowicz">Maria Ferensowicz</name>
<name sortKey="Gimbel, Howard V" sort="Gimbel, Howard V" uniqKey="Gimbel H" first="Howard V." last="Gimbel">Howard V. Gimbel</name>
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