[Zhonghua yan ke za zhi] Chinese journal of ophthalmology · 2002
[Preliminary results of foldable intraocular lens implantation in children with cataract].
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Yao Zhan, Xie Lixin, Huang Yusen, Wang Zhipeng
Аннотация
OBJECTIVE: To evaluate the result of phacoemulsification and foldable intraocular lens implantation (IOL) through a small incision in children with cataract.
METHODS: Phacoemulsification with anterior vitrectomy and foldable IOL implantation in the capsular bag was performed in 37 eyes of 28 children aged 3 - 15 years (mean 7 years), including 27 eyes of congenital cataract and 10 eyes of traumatic cataract. The visual acuity, corneal curvature and possible complication were followed up for 10 months (range, 3 - 15 months).
RESULT: The best corrected visual acuity (BCVA) of congenital cataract were all >/= 0.1, and 59.3% >/= 0.5. All the BCVA of cases with traumatic cataract >/= 0.3, and 80% >/= 0.5. The surgically induced astigmatism (SIA) was (1.18 +/- 0.65) D, (0.67 +/- 0.59) D and (0.60 +/- 0.39) D in one week, one month, and three months respectively after the operation, and it was stable in the postoperative one month. Secondary cataract occurred in 5 cases (13.5%), and no other complications were found.
CONCLUSIONS: Phacoemulsification and foldable IOL implantation through a small incision in children with cataract can reduce early post-operative astigmatism and shorten the period of visual rehabilitation. It is a safe procedure with milder inflammatory reaction and less complication.
METHODS: Phacoemulsification with anterior vitrectomy and foldable IOL implantation in the capsular bag was performed in 37 eyes of 28 children aged 3 - 15 years (mean 7 years), including 27 eyes of congenital cataract and 10 eyes of traumatic cataract. The visual acuity, corneal curvature and possible complication were followed up for 10 months (range, 3 - 15 months).
RESULT: The best corrected visual acuity (BCVA) of congenital cataract were all >/= 0.1, and 59.3% >/= 0.5. All the BCVA of cases with traumatic cataract >/= 0.3, and 80% >/= 0.5. The surgically induced astigmatism (SIA) was (1.18 +/- 0.65) D, (0.67 +/- 0.59) D and (0.60 +/- 0.39) D in one week, one month, and three months respectively after the operation, and it was stable in the postoperative one month. Secondary cataract occurred in 5 cases (13.5%), and no other complications were found.
CONCLUSIONS: Phacoemulsification and foldable IOL implantation through a small incision in children with cataract can reduce early post-operative astigmatism and shorten the period of visual rehabilitation. It is a safe procedure with milder inflammatory reaction and less complication.