Bilateral intraocular lens implantation in the pediatric population☆
Section snippets
Methods
Medical records of all children who underwent IOL implantation in both eyes by one surgeon (MEW) were reviewed retrospectively. Patients were selected from a database of 185 consecutive IOL implantations in children at the Storm Eye Institute. Details of the surgical technique, IOL type and power, postoperative complications, preoperative and postoperative visual acuity, and examination findings at each followup visit were noted. Repeat axial lengths over time were obtained whenever possible.
Results
Thirty patients (60 eyes) were identified with more than 6 months of followup who underwent IOL implantation in both eyes by one author (MEW) from 1991 through 1998. Of the 30 study patients, 23 (46 eyes) underwent implantation primarily at the time of cataract extraction, and 7 (14 eyes) underwent implantation secondarily (Table 1). Nine patients had congenital cataracts and 17 were developmental. One patient had cataracts associated with radiation therapy, one with steroid treatment, and two
Discussion
Because of the uncertainty of long-term outcome, bilateral IOL implantation in children is still controversial. As more bilateral implantations are performed and more long-term results are reported, surgeons are better able to evaluate this option for their patients.
In our series of patients, the visual results of bilateral implantation generally have been good. Other authors have also reported good visual outcomes in young patients with IOLs.22, 23, 24, 25, 26, 27 However, these authors report
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Supported in part by an unrestricted grant to the Storm Eye Institute from Research to Prevent Blindness, Inc., New York, New York.
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The authors have no proprietary interest in any entity connected with this manuscript.