[Results of primary IOL implantation after extraction of congenital cataract in two-year babies].

The results of aspiration of congenital cataract and those of IOL implantation were analyzed for 15 children (17 eyes) aged 2 years or less. The specificity of the postoperative clinical course after implantation of different IOL types and of changes of refraction as well as peculiarities of the growth of the aphakic eye in unilateral cataract versus its match were analyzed. Exudative reaction, stages I-II, is the main problem encountered in the early postoperative period irrespective of a type of the implanted IOL. Implantation of rigid IOLs is associated with a higher risk of development of secondary cataract in the late postoperative period. The postoperative changes of refraction do not depend on an IOL type. The artiphakic eye becomes myopic as the anatomic-optic parameters of the growing eye change. There are no reliable differences between the growth indices in the anterior-posterior axis of the artiphakic and growing eyes.