Phakic posterior chamber lens implantation in children with high myopia.
OBJECTIVE
To evaluate the anatomical and functional results after implantation of a phakic posterior chamber lens (implantable contact lens [ICL]) to correct high myopia with amblyopia in pediatric patients in whom conventional treatments had failed.


METHODS
Department of Ophthalmology, Purpan Hospital, University of Toulouse, France.


METHODS
An ICL was implanted in 5 eyes with amblyopic high myopia in 4 children aged 3 to 16 years. Mean preoperative spherical equivalent refraction was -12.8 diopters (D) (range -8.0 to -18.0 D) and best spectacle-corrected visual acuity (BSCVA) was counting fingers to 20/200. Mean follow-up was 11.8 months (range 4 to 21 months).


RESULTS
Postoperatively, the ICLs appeared to be well tolerated, with no inflammatory reactions, stable intraocular pressure, and good positioning in all eyes. Predictability was +0.5 D (range -0.5 to +2.0 D) and BSCVA improved, with a gain of 3 or more Snellen lines with recovery of binocular vision in 2 cases and orthotropia in 3 patients. All parents reported an improvement in their children's quality of life.


CONCLUSIONS
This preliminary study indicates that ICL implantation is a safe surgical procedure to correct amblyopia resulting from high myopia in children when conventional amblyopia treatments have failed. Longer follow-up of more patients is needed.
Lesueur
L C
LC
Department of Ophthalmology, Purpan Hospital, University of Toulouse, France.
Arne
J L
JL
D000293:Adolescent; D000550:Amblyopia / Q000150:complications / Q000601:surgery; D015858:Anisometropia / Q000150:complications / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000502:physiology*; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000150:complications / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D012029:Refraction, Ocular; D014792:Visual Acuity