Intraocular lens implantation in children with unilateral traumatic cataract.
A group of 23 children with traumatic pseudophakia was evaluated. Intraocular lens (IOL) implantation was performed as a primary procedure, immediately after aspiration of the traumatic lens, in 7 cases and as a secondary procedure in 16 cases. The mean followup was 6.5 years, varying from 1.5 to 11 years. A visual acuity of 0.7 or more was achieved in 3 of the 8 patients under 7 years of age and in 13 of the 15 cases from 7 to 14 years of age. Awaiting longer follow-up results of epikeratophakia in children we advise to perform early IOL implantation in children under 7 years of age, combined with a rigid amblyopia treatment scheme. In children older than 7 years of age we prefer to try the use of contact lenses first and preserve IOL implantation for selected cases.
Bienfait
M F
MF
Eye Hospital, Rotterdam, The Netherlands.
Pameijer
J H
JH
Wildervanck de Blécourt-Devilee
M
M
D000293:Adolescent; D000550:Amblyopia / Q000209:etiology / Q000628:therapy; D002386:Cataract / Q000209:etiology*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D003261:Contact Lenses; D015807:Eye Injuries, Penetrating / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007910:Lenses, Intraocular; D008297:Male; D011379:Prognosis; D012029:Refraction, Ocular; D014792:Visual Acuity