title: Outcome of primary intraocular lens implantation in infants: Complications and rates of additional surgery.
abstract: To study the requirement of additional surgery and adverse events in infants having primary intraocular lens (IOL) implantation.
  
  
  
  Tertiary care institute, Chandigarh, India.
  
  
  
  Prospective observational noncomparative case series.
  
  
  
  Infants who had phacoaspiration, primary posterior capsulotomy, anterior vitrectomy, and primary IOL implantation were evaluated for complications and the need for additional surgery over a 3-year period. The main outcome measures were the rate of complications, adverse events, and need for additional surgery.
  
  
  
  Sixty infants (100 eyes) with a mean age of 7.13 months ± 2.32 (SD) (range 3 to 12 months) were studied. The mean follow-up was 41.2 ± 3.5 months. Indication of additional surgery included visual axis opacification in 13 eyes, pupillary membrane/IOL decentration in 4 eyes, and iris prolapse in 4 eyes. Adverse events included pigment on the IOL in 14 eyes and iridolenticular adhesions in 9 eyes. Ocular hypertension was observed in 2 eyes. The IOL was placed in sulcus or by optic capture in 14 eyes. There was no difference in additional surgery and adverse events between infants aged 6 months or younger versus those older than 6 months (P = .734).
  
  
  
  There was a low incidence of adverse events and additional surgery requirement in infants who had cataract surgery with primary IOL implantation.
  
  
  
  None of the authors has a financial or proprietary interest in any material or method mentioned.
authors: From the Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Electronic address: jaspreetsukhija@rediffmail.com.
authors: Jaspreet
authors: J
authors: Sukhija
authors: From the Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors: Savleen
authors: S
authors: Kaur
authors: From the Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors: Jagat
authors: J
authors: Ram
mesh_terms: D002386:Cataract; D002387:Cataract Extraction; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D007223:Infant; D019654:Lens Implantation, Intraocular / Q000009:adverse effects* / Q000379:methods; D007910:Lenses, Intraocular; D011183:Postoperative Complications; D011446:Prospective Studies; D014792:Visual Acuity