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Hydrophobic acrylic versus polymethyl methacrylate intraocular lens implantation following cataract surgery in the first year of life

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Abstract

Purpose

To evaluate complication rates following implantation of hydrophobic acrylic versus polymethyl methacrylate (PMMA) intraocular lens (IOL) with cataract surgery in infants.

Methods

Records of children undergoing cataract surgery with IOL implantation in first year of life were retrospectively reviewed. Infants were divided into two groups—hydrophobic acrylic IOLs were implanted in group A, and PMMA IOLs in group B. Outcome measures included incidence of complications, additional surgical procedures, and refractive error changes.

Results

One hundred and thirteen eyes of 113 children (75 males) with mean age of 6.49 ± 3.56 months were included. Group A included 62 eyes, and group B included 51 eyes. The two groups did not differ significantly in terms of age and axial length. There was no significant difference between the groups for incidence of posterior capsular opacification (PCO), pupillary membranes, glaucoma, fibrin on IOL surface or IOL malposition (p = 0.09). Development of PCO was delayed in group A (p = 0.049). Thirteen eyes of group A and 18 eyes of group B required additional surgical intervention (p = 0.20) in the follow-up visits.

Conclusion

Comparable complications may be expected in infants with PMMA and hydrophobic acrylic lenses. Children implanted with PMMA IOLs may require earlier surgical re-intervention for PCO.

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Acknowledgments

There are no financial interest(s) to disclose. No funding was received to carry out the study.

Competing interests

None of the authors have any proprietary/financial or non-financial competing interest to disclose.

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The author/(s) do not have any financial or proprietary interests/affiliations or arrangements.

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No conflict of interests exists for any author.

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Authors and Affiliations

  1. Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India

    Jagat Ram, Vaibhav K. Jain, Aniruddha Agarwal & Jaidrath Kumar

  2. Ocular Imaging Research and Reading Center (OIRRC), Stanley M. Truhlsen Eye Institute, University of Nebraska Medical Center (UNMC), Omaha, NE, USA

    Aniruddha Agarwal

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  1. Jagat Ram
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  2. Vaibhav K. Jain
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Correspondence to Jagat Ram.

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Ram, J., Jain, V.K., Agarwal, A. et al. Hydrophobic acrylic versus polymethyl methacrylate intraocular lens implantation following cataract surgery in the first year of life. Graefes Arch Clin Exp Ophthalmol 252, 1443–1449 (2014). https://doi.org/10.1007/s00417-014-2689-0

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  • DOI: https://doi.org/10.1007/s00417-014-2689-0

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