[Intraocular lens implantation in childhood. Functional results and complications].
IOL implantation in childhood is still controversial.


OBJECTIVE
The purpose of this retrospective study was to evaluate functional results and complications in children after IOL implantation.


RESULTS
Posterior chamber IOLs were implanted in 52 eyes of 45 children. Cataract extraction was necessary because of traumatic, congenital/developmental and secondary lens opacities. Nine IOLs were implanted in children between the ages of 1.9 and 4 years, 17 IOLs from 4 to 8 years and 26 IOLs in patients 8 to 14.3 years old. In 38 of the 52 eyes (73%) vision improved after the surgery. Fifty-four percent had an acuity of at least 0.5. The functional results of children more than 8 years old were superior to those of younger patients. Children with traumatic cataracts had better visual acuities than those with other types of cataract. Except for secondary capsular opacities (75%) that could not be prevented by performing a primary posterior capsulotomy or capsulectomy and iris capture (31%), postoperative complications were rare.


CONCLUSIONS
Favorable functional results can be achieved by IOL implantation in children with cataracts. Many patients require secondary surgical procedures because of capsular opacities and iris capture.
Büchner
T
T
Klinik und Poliklinik für Augenheilkunde der Westfälischen Wilhelms-Universität Münster.
Busse
H
H
Gerding
H
H
D000293:Adolescent; D002386:Cataract / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology
Intraokularlinsenimplantation im Kindesalter. Funktionelle Ergebnisse und Komplikationen.