Secondary intraocular lens implantation following infantile cataract surgery: indications, lens placement and long-term postoperative outcomes

Session Details

Session Title: Paediatric Cataract Surgery

Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30

Paper Time: 09:52

Venue: Hall C1

First Author: : D.Tadros EGYPT

Co Author(s): :    K. Wood   R. H Trivedi   E. Wilson              

Abstract Details

Purpose:

To report long-term postoperative outcomes after secondary intraocular lens (IOL) implantation following infantile cataract surgery

Setting:

Storm Eye Institute, Medical University of South Carolina, USA

Methods:

Study population: Infants operated for congenital cataract before seven months of age. Exclusion criteria: Acquired cataract, congenital glaucoma, ROP and PFV stretching the ciliary process, <1 year follow-up after secondary IOL implantation (for postoperative outcome). We randomly selected one eye for statistical analysis in bilaterally implanted patients

Results:

49 Patients, 25 unilateral and 24 bilateral. Age at cataract surgery 1.7±1.2 months; age at IOL implantation 4.6±1.8 years; age at final follow up 9.1±2.4 years; follow-up after secondary IOL 4.8±2.8 years. 57.1% received secondary IOL because of difficulties with contact lens. Capsular bag fixation was achieved in 69.4%. No significance between age and site of IOL implantation (P=0.3). 37 eyes were analyzed for postoperative outcomes. After Secondary IOL, 1 eye was diagnosed as glaucoma suspect, 4 received glaucoma medical treatment, 2 had glaucoma surgery and 2 had surgery to clear the visual axis. 1 patient required IOL removal because of high myopia. Median VA at final follow-up was 20/55 for unilateral versus 20/40 for bilateral.

Conclusions:

Secondary IOL in children is relatively safe procedure associated with low rates of postoperative complications

Financial Disclosure:

NONE