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Uncorrected visual acuity in children with monofocal pseudophakia

Session Details

Session Title: Paediatric Cataract Surgery

Session Date/Time: Monday 07/10/2013 | 16:30-18:00

Paper Time: 17:12

Venue: Forum (Ground Floor)

First Author: : M.Diab SAUDI ARABIA

Co Author(s): :                  

Abstract Details

Purpose:

To report uncorrected distance and near visual acuity(VA) in children with monofocal intraocular lens(IOL).

Setting:

Faculty of medicine Ain Shams Univerity Cairi Egypt and also Magrabi Eye Hospital

Methods:

Records of children > 5 years age who received monofocal IOL targeted for emmetropia within 1 Diopter(D) spherical equivalent were reviewed. Eyes with other causes of vision worse than 20/40(amblyopia, developmental delay, optic atrophy) were excluded. Vision was tested using M&S system with Snellen equivalent for distance, and standard Jaeger’s near card for near VA. Uncorrected VA for each eye and under binocular conditions and refractive error was recorded.

Results:

41 eyes of 25 children had uncorrected distance and near VA recorded. Mean age was 11.2 + 3.6 years. 20 eyes (48.8%) had VA > 20/40 at distance and near, 11 had > 20/40 for distance only, 6 had > 20/40 for near only, and 4 had < 20/40 for distance and near. 30 eyes (70%) had WTR astigmatism. All but 2 eyes (95%) were 20/70 or better distance and near without correction. In children with bilateral pseudophakia, 12/ 16(75%) were 20/40 or better distance and near without correction, with approximately symmetric refractive error (0.2 + 1.2D).

Conclusions:

Monofocal IOLs provide good (> 20/40) distance and near uncorrected VA in almost 50% pediatric eyes when the target is within 1 D of emmetropia.

Financial Interest:

NONE