Secondary capsule-supported intraocular lens implantation in children.
OBJECTIVE
To evaluate surgical problems, postoperative complications, and visual results of secondary posterior chamber intraocular lens (IOL) implantation in children.


METHODS
L.V. Prasad Eye Institute, Hyderabad, India.


METHODS
A retrospective study was done of secondary IOL implantation in 27 children (35 eyes) who were not satisfied with aphakic glasses and were intolerant of or reluctant to use contact lenses. The extent of posterior capsular support was assessed prior to surgery. Additional surgical procedures were posterior synechiolysis (11 eyes), anterior vitrectomy (8 eyes), pupilloplasty (2 eyes), and membranectomy (2 eyes).


RESULTS
Postoperative complications included wound leak (1 eye), uveitis (5 eyes), peripheral anterior synechias (2 eyes), and retinal detachment (1 eye). Visual acuity improved or remained at the preoperative level in 34 eyes.


CONCLUSIONS
Secondary posterior chamber IOL implantation is an effective optical modality for managing pediatric aphakia. Observation must continue to determine the long-term safety of the procedure.
Sharma
A
A
Sight Savers' Cornea Training Centre, L.V. Prasad Eye Institute, Hyderabad, India.
Basti
S
S
Gupta
S
S
D000293:Adolescent; D001036:Aphakia, Postcataract / Q000209:etiology / Q000601:surgery*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D003261:Contact Lenses; D005139:Eyeglasses; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D011183:Postoperative Complications; D012189:Retrospective Studies; D014792:Visual Acuity