الفهرس | Only 14 pages are availabe for public view |
Abstract The present study was done to evaluate the clinical outcome of secondary intraocular lens implantation in children. It included 70 eyes of 58 children which were divided into 2 groups. The first group comprised 42 eyes of 37 patients with mean age (5.8 ± 3.1) and with sufficient capsular support. The second group comprised 28 eyes of 21 patients with mean age (7.2 ± 2.5) and with insufficient capsular support. The two groups had statistically significant difference regarding age, group II children were significantly older than group I (p = 0.010), the 1ry lens disorder was developmental cataract (16 eyes in group I), traumatic cataract (26 eyes in group I and 14 eyes in group II), and ectopia lentis (14 eyes in group II). In group I preoperative assessment revealed leucoma adherent in 9 eyes, Posterior synechia in 23 eyes, total PCO in 9 eyes and irregular AC depth in 10 eyes. In group I (42eyes) foldable acrylic intraocular lens Acrysof (Alcon) was implanted, in group IIA (13eyes) anterior chamber Artisan Verisyse Aphakia IOL was implanted and in group IIB (15 eyes) retropupillary Artisan Verisyse Aphakia IOL was implanted. Postoperative complications were few. They included fibrin uveitis (6 eyes), corneal oedema (3 eyes), optic capture (2 eyes), posterior synechia (3 eyes), IOL deposits(4 eyes), IOL decentration(1 eye),raised IOP (1 eye),pupil ovalisation (2eyes), and lens dislocation (2 eyes). In the two groups and also in the two subgroups IOL implantation resulted in significant improvement of the BSCVA (p < 0.001) . Visual acuity improvement was noticed in unreliable patients by increased activities of the child and better rehabilitation postoperatively. Better near work activities were noticed using colored books. |