title: Current Status of IOL implantation in pediatric eyes: an update.
abstract: Pediatric cataracts are a huge problem worldwide, and with improving techniques and technology, the surgical treatment and postoperative visual rehabilitation are improving. Despite intraocular lenses(IOLs) being the standard of care for adult cataract surgery, this issue is still somewhat controversial, particularly in young children and infants due to lack of unequivocal evidence. This review therefore summarises the findings from recent studies on the aspect of IOL implantation in pediatric eyes. Areas covered: An extensive literature search was undertaken for published articles on congenital/developmental pediatric cataracts, and IOL implantation, where literature pertinent to traumatic and subluxated cataracts was not included in the review. Pubmed was used for literature search, and keywords entered were : pediatric, cataract surgery, intraocular lens, persistent fetal vasculature, outcomes, complications, visual performance with intraocular lenses. Expert commentary: Recent literature supports IOL implantation in most cases of congenital / developmental pediatric cataracts, and it seems like the way forward. However, the jury is still out on IOL implantation in infants, particularly in bilateral cataracts. Thus, surgeons must be extremely cautious in planning primary IOL implantation in infant eyes, and if they do perform IOL implantation, rigorous followup is mandatory.
authors.affiliation: a Iladevi Cataract & IOL Research Centre, Raghudeep Eye Hospital , Ahmedabad , India.
authors.forename: Abhay R
authors.initials: AR
authors.lastname: Vasavada
authors.affiliation: a Iladevi Cataract & IOL Research Centre, Raghudeep Eye Hospital , Ahmedabad , India.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Vasavada
keywords: IOL power calculation; Pediatric cataract; complications; intraocular lens (IOL); preferred practice; young age