title: Long-term results after primary intraocular lens implantation in children operated less than 2 years of age for congenital cataract.
abstract: OBJECTIVE
  To study the long-term outcome of cataract surgery with primary intraocular lens (IOL) in children <2 years.
  
  
  METHODS
  Retrospective analysis of bilateral cases that were operated before 2 years age for congenital cataract. All underwent primary posterior capsulotomy with anterior vitrectomy and primary IOL implantation. Only those with a follow-up of at least 8 years were evaluated.
  
  
  RESULTS
  Twenty-six eyes of 13 children with bilateral cataract met the inclusion criteria. Average age at surgery was 14.15 months with a mean follow-up of 102 months. Average preoperative axial length (AL) was 19.93 mm. There was a refractive shift from a mean spherical equivalent of 1.64 D at 2 weeks after surgery to -1.42 D measured at last follow-up. Twenty-four eyes out of 26 (92%) achieved final visual acuity (VA) of 6/18 or more at last follow-up with 19/26 (73%) having acuity of 6/12 or greater. Raised intraocular pressure was documented in one eye only. Average AL recorded at last follow-up was 22.21 mm.
  
  
  CONCLUSIONS
  Primary IOL implantation in children <2 years is a safe surgical procedure with excellent long-term results. The myopic shift is well-controlled and final VA achieved is reasonably good.
authors.forename: Jaspreet
authors.initials: J
authors.lastname: Sukhija
authors.affiliation: Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Jagat
authors.initials: J
authors.lastname: Ram
authors.forename: Nishant
authors.initials: N
authors.lastname: Gupta
authors.forename: Ashish
authors.initials: A
authors.lastname: Sawhney
authors.forename: Savleen
authors.initials: S
authors.lastname: Kaur
mesh_terms: D002386:Cataract / Q000151:congenital*; D002387:Cataract Extraction / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D040181:Genetic Diseases, X-Linked / Q000601:surgery*; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular; D008297:Male; D008850:Microphthalmos / Q000601:surgery*; D011183:Postoperative Complications; D012029:Refraction, Ocular / Q000502:physiology*; D012030:Refractive Errors / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity