Infantile Cataract Surgery and Intraocular Lens Implantation
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- Category: Vol. 77, June 2009
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Infantile Cataract Surgery and Intraocular Lens Implantation,MOHAMAD S. SAAD
Abstract
Purpose: To assess the long term results of cataract extraction and intraocular lens (IOL) implantation for con-genital cataract.
Methods: Prospective hospital based study of 39 children (age 6-13 months) underwent cataract extraction and IOLs implantation for congenital cataract in Assiut University Hospital and followed-up for 21 months (range 16-33 months). Posterior capsulotomy and generous anterior vitrectomy was performed in all eyes.
Results: Forty nine eyes of 39 patients were included. At surgery, the mean age was 8.3 months (range 6 to 13 months). The mean follow-up was 21 months (range 16 to 33 months). At the last follow-up, 82.1% of children had central steady vision. Postoperative complications included anterior pupillary membrane (n=8), deposition on the anterior surface of the IOL (n=4), posterior pupillary membrane (n=3), pupil capture (n = 6), pseudophakic glaucoma (n=2), posterior synechia (n=3) and squint (n=13).
Conclusion: Implantation of IOLs in infants with congen-ital cataract is safe and effective and without serious postop-erative complications.