title: Seven-year follow-up of unilateral multifocal pseudophakia in a child.
abstract: The purpose of the study was to report the long-term outcome of unilateral implantation of a multifocal intraocular lens (IOL) in a pediatric cataract. This study was carried out at Tertiary Academic Ophthalmology Department, AMC, Amsterdam. This is a case report study of a 7-year-old child with a unilateral irradiation cataract, in whom an apodized diffractive multifocal IOL (SN6D3, Alcon) was implanted at the time of cataract surgery. During the follow-up period, visual acuity was preserved at logMAR -0.1; the child did not develop amblyopia. Binocular single vision was established. Few glistenings were seen on the IOL. The non-operated eye developed more myopia during the follow-up period than the multifocally implanted eye. Straylight was increased to log(s) 1.83. Patient and parents satisfaction were high. In selected cases, unilateral implantation of apodized diffractive multifocal IOLs leads to good long-term results in terms of visual acuity and patient satisfaction. No untoward effects were seen, including few glistenings on the IOL. Straylight is increased, but subjectively not disturbing.
authors.affiliation: Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands. r.lapid@amc.nl.|Retina Total Eye Care, Driebergen, The Netherlands. r.lapid@amc.nl.
authors.forename: Ruth
authors.initials: R
authors.lastname: Lapid-Gortzak
authors.affiliation: Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands.|Retina Total Eye Care, Driebergen, The Netherlands.
authors.forename: I J
authors.initials: IJ
authors.lastname: van der Meulen
authors.affiliation: Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands.
authors.forename: H M
authors.initials: HM
authors.lastname: Jellema
authors.affiliation: Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands.
authors.forename: M P
authors.initials: MP
authors.lastname: Mourits
authors.affiliation: Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands.
authors.forename: C P
authors.initials: CP
authors.lastname: Nieuwendaal
mesh_terms: D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D017060:Patient Satisfaction; D019591:Pseudophakia / Q000601:surgery*; D011832:Radiation Injuries / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Diffractive multifocal IOL; Multifocal IOL; Pediatric cataract; Radiation cataract