title: Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery.
abstract: OBJECTIVE
  To compare the results of 2 intraocular lens (IOL) implantation techniques in pediatric cataract surgery.
  
  
  METHODS
  Labbafinejad Medical Center, Tehran, Iran.
  
  
  METHODS
  This contralateral prospective randomized study comprised children with bilateral congenital or developmental cataract. In all cases, anterior capsulorhexis, lens aspiration, posterior continuous curvilinear capsulorhexis (PCCC), and anterior vitrectomy were performed. In 1 eye of each patient, a 3-piece AcrySof MA60BM IOL was implanted in the capsular bag. In the other eye, the same type of IOL was implanted in the ciliary sulcus and the optic was captured through the PCCC. Visual acuity, visual axis opacification, and complications were assessed.
  
  
  RESULTS
  Twenty-eight eyes of 14 children were included in the study. The mean patient age at surgery was 5.1 years +/- 1.5 (SD) (range 2.5 to 8.0 years). The mean follow-up was 22.2 +/- 6.3 months (range 13 to 35 months). The visual axis remained clear in all eyes in both groups. There was no statistically significant difference between the 2 groups in best corrected visual acuity or complications (eg, postoperative uveitis, posterior synechia, significant IOL decentration).
  
  
  CONCLUSIONS
  In pediatric cataract surgery, placement of haptics in the ciliary sulcus and IOL optic capture through the PCCC was a safe alternative to IOL implantation in the capsular bag.
authors.affiliation: Department of Ophthalmology, Ophthalmic Research Center, Shaheed Beheshti Medical University, Tehran, Iran. amirfaramarzy@yahoo.com
authors.forename: Amir
authors.initials: A
authors.lastname: Faramarzi
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Javadi
mesh_terms: D019923:Capsulorhexis; D002386:Cataract / Q000151:congenital*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications; D011446:Prospective Studies; D019591:Pseudophakia / Q000503:physiopathology*; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy