Results following secondary intraocular lens implantation in children.
Identifieur interne : 000B13 ( Pmc/Curation ); précédent : 000B12; suivant : 000B14Results following secondary intraocular lens implantation in children.
Auteurs : A W Biglan ; K P Cheng ; J S Davis ; C C GerontisSource :
- Transactions of the American Ophthalmological Society [ 0065-9533 ] ; 1996.
Abstract
BACKGROUND: Placement of a secondary intraocular lens (IOL) in a child may be considered in children with congenital monocular cataracts who have had complete opacities removed early in life and who later become contact lens intolerant, in eyes that have received trauma which precluded placement of a primary IOL, and in young adults who have bilateral aphakia who become resistant to use of contact lenses or spectacles. METHODS: Clinical records of all children in our practice who received a secondary IOL between January 1988 and December 1994 were reviewed. Indications, biometry, type of procedures, preoperative and postoperative acuity, refractive error, binocular status, and complications were studied. RESULTS: During the 7-year period, 242 cataract operations were performed. Fifty-nine eyes received a lens implant, and 28 of these were secondary implants. There was a mean interval between the initial cataract operation and the procedure for the secondary implant of 77 months. The mean follow-up was 35 months (range, 3 to 71) for the 28 eyes that received a secondary implant. Two received anterior chamber implants. Eight eyes had insufficient capsular support for an IOL. Six implants were placed in the posterior chamber and required suture fixation to the sclera. Twenty of 28 eyes had a measurable improvement in visual acuity. Only 1 eye had a decrease in visual acuity of 2 lines. Fifteen patients (54%) had a final refraction within 1.50 diopters of the fellow eye, and 75% were within 3.00 diopters. During the follow-up period, 2 eyes developed glaucoma. One had a transient pressure elevation, and the second has required 2 filtration procedures. Three patients required a Nd: YAG capsulotomy. Six patients demonstrated Worth fusion at distance and near, but only 3 patients demonstrated 200 seconds of arc or better stereo acuity. CONCLUSION: Placement of contemporary-style, secondary intraocular lenses in children and young adults appears to provide a safe and effective alternative for correction of aphakia in children who become contact lens or spectacle-intolerant.
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PubMed: 8981705
PubMed Central: 1312104
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Results following secondary intraocular lens implantation in children.</title><author><name sortKey="Biglan, A W" sort="Biglan, A W" uniqKey="Biglan A" first="A W" last="Biglan">A W Biglan</name></author><author><name sortKey="Cheng, K P" sort="Cheng, K P" uniqKey="Cheng K" first="K P" last="Cheng">K P Cheng</name></author><author><name sortKey="Davis, J S" sort="Davis, J S" uniqKey="Davis J" first="J S" last="Davis">J S Davis</name></author><author><name sortKey="Gerontis, C C" sort="Gerontis, C C" uniqKey="Gerontis C" first="C C" last="Gerontis">C C Gerontis</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">8981705</idno><idno type="pmc">1312104</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1312104</idno><idno type="RBID">PMC:1312104</idno><date when="1996">1996</date><idno type="wicri:Area/Pmc/Corpus">000B13</idno><idno type="wicri:Area/Pmc/Curation">000B13</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Results following secondary intraocular lens implantation in children.</title><author><name sortKey="Biglan, A W" sort="Biglan, A W" uniqKey="Biglan A" first="A W" last="Biglan">A W Biglan</name></author><author><name sortKey="Cheng, K P" sort="Cheng, K P" uniqKey="Cheng K" first="K P" last="Cheng">K P Cheng</name></author><author><name sortKey="Davis, J S" sort="Davis, J S" uniqKey="Davis J" first="J S" last="Davis">J S Davis</name></author><author><name sortKey="Gerontis, C C" sort="Gerontis, C C" uniqKey="Gerontis C" first="C C" last="Gerontis">C C Gerontis</name></author></analytic><series><title level="j">Transactions of the American Ophthalmological Society</title><idno type="ISSN">0065-9533</idno><idno type="eISSN">1545-6110</idno><imprint><date when="1996">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>BACKGROUND: Placement of a secondary intraocular lens (IOL) in a child may be considered in children with congenital monocular cataracts who have had complete opacities removed early in life and who later become contact lens intolerant, in eyes that have received trauma which precluded placement of a primary IOL, and in young adults who have bilateral aphakia who become resistant to use of contact lenses or spectacles. METHODS: Clinical records of all children in our practice who received a secondary IOL between January 1988 and December 1994 were reviewed. Indications, biometry, type of procedures, preoperative and postoperative acuity, refractive error, binocular status, and complications were studied. RESULTS: During the 7-year period, 242 cataract operations were performed. Fifty-nine eyes received a lens implant, and 28 of these were secondary implants. There was a mean interval between the initial cataract operation and the procedure for the secondary implant of 77 months. The mean follow-up was 35 months (range, 3 to 71) for the 28 eyes that received a secondary implant. Two received anterior chamber implants. Eight eyes had insufficient capsular support for an IOL. Six implants were placed in the posterior chamber and required suture fixation to the sclera. Twenty of 28 eyes had a measurable improvement in visual acuity. Only 1 eye had a decrease in visual acuity of 2 lines. Fifteen patients (54%) had a final refraction within 1.50 diopters of the fellow eye, and 75% were within 3.00 diopters. During the follow-up period, 2 eyes developed glaucoma. One had a transient pressure elevation, and the second has required 2 filtration procedures. Three patients required a Nd: YAG capsulotomy. Six patients demonstrated Worth fusion at distance and near, but only 3 patients demonstrated 200 seconds of arc or better stereo acuity. CONCLUSION: Placement of contemporary-style, secondary intraocular lenses in children and young adults appears to provide a safe and effective alternative for correction of aphakia in children who become contact lens or spectacle-intolerant.</p><sec sec-type="scanned-figures"><title>Images</title><fig id="F1"><label>FIGURE 2</label><graphic xlink:href="taos00005-0390-a" xlink:role="368"></graphic></fig></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Trans Am Ophthalmol Soc</journal-id><journal-title>Transactions of the American Ophthalmological Society</journal-title><issn pub-type="ppub">0065-9533</issn><issn pub-type="epub">1545-6110</issn></journal-meta><article-meta><article-id pub-id-type="pmid">8981705</article-id><article-id pub-id-type="pmc">1312104</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Results following secondary intraocular lens implantation in children.</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Biglan</surname><given-names>A W</given-names></name></contrib><contrib contrib-type="author"><name><surname>Cheng</surname><given-names>K P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Davis</surname><given-names>J S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Gerontis</surname><given-names>C C</given-names></name></contrib></contrib-group><aff>Department of Ophthalmology, University of Pittsburgh School of Medicine, USA.</aff><pub-date pub-type="ppub"><year>1996</year></pub-date><volume>94</volume><fpage>353</fpage><lpage>379</lpage><abstract><p>BACKGROUND: Placement of a secondary intraocular lens (IOL) in a child may be considered in children with congenital monocular cataracts who have had complete opacities removed early in life and who later become contact lens intolerant, in eyes that have received trauma which precluded placement of a primary IOL, and in young adults who have bilateral aphakia who become resistant to use of contact lenses or spectacles. METHODS: Clinical records of all children in our practice who received a secondary IOL between January 1988 and December 1994 were reviewed. Indications, biometry, type of procedures, preoperative and postoperative acuity, refractive error, binocular status, and complications were studied. RESULTS: During the 7-year period, 242 cataract operations were performed. Fifty-nine eyes received a lens implant, and 28 of these were secondary implants. There was a mean interval between the initial cataract operation and the procedure for the secondary implant of 77 months. The mean follow-up was 35 months (range, 3 to 71) for the 28 eyes that received a secondary implant. Two received anterior chamber implants. Eight eyes had insufficient capsular support for an IOL. Six implants were placed in the posterior chamber and required suture fixation to the sclera. Twenty of 28 eyes had a measurable improvement in visual acuity. Only 1 eye had a decrease in visual acuity of 2 lines. Fifteen patients (54%) had a final refraction within 1.50 diopters of the fellow eye, and 75% were within 3.00 diopters. During the follow-up period, 2 eyes developed glaucoma. One had a transient pressure elevation, and the second has required 2 filtration procedures. Three patients required a Nd: YAG capsulotomy. Six patients demonstrated Worth fusion at distance and near, but only 3 patients demonstrated 200 seconds of arc or better stereo acuity. CONCLUSION: Placement of contemporary-style, secondary intraocular lenses in children and young adults appears to provide a safe and effective alternative for correction of aphakia in children who become contact lens or spectacle-intolerant.</p><sec sec-type="scanned-figures"><title>Images</title><fig id="F1"><label>FIGURE 2</label><graphic xlink:href="taos00005-0390-a" xlink:role="368"></graphic></fig></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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