[Intraocular lens implantation in the first year of life].
We evaluated 36 eyes in 23 infants between one and eleven months old who had primary posterior chamber intraocular lens implantation for congenital cataracts. All eyes had a capsulorhexis of anterior and posterior capsulae and anterior vitrectomy. In order to obtain an emmetropia at age 5 years, we chose a 35% undercorrection of lens power for infants less than six months old, and 25% for infants between seven and eleven months old. The average follow-up was 15.3 months. Nine eyes developed posterior synechiae and eight developed a posterior opacification. The average postoperative refraction was +5.81 dioptries at one month, +4.56 at four months, +1.5, at one year, and +0.19 at two years. There was a marked subjective visual improvement in 34 eyes.
De Laage De Meux
P
P
Service d'ophtalmologie et d'ophtalmopédiatrie, Fondation Ophtalmologique A de Rothschild, 29, rue Manin, 75019, Paris.
Zafad
R
R
Arndt
C
C
Caputo
G
G
Meunier
I
I
Edelson
C
C
D002386:Cataract / Q000151:congenital*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular