Secondary IOL Implantation in Children With Aphakia
Purpose
To report the results of secondary intraocular lens (IOL) implantation in children with aphakia.
Methods
The records of children with aphakia who had secondary IOL implantation between April 2003and April 2014 were reviewed retrospectively. Traumatic cases with serious pathology, except for superficial corneal scar, were not included in the study. The cases were evaluated in terms of complications and visual functions.
Results
Thirty-eight eyes of 2O patients (10 male, 10 female) were included in the study. The causes of aphakia were traumatic cataract in 10eyes (50%) and congenital cataract in 10 eyes (50%). In 10 eyes (50%) with adequatecapsular support, IOL was placed in the ciliary sulcus (Group 1), whereas in 10eyes (50%) without adequate capsular support, scleral fixated IOL implantation was performed (Group 2). The mean age at the time of primary cataract surgery was 2.5 years in Group 1 and 6 .5 years in Group 2 (p=0.007). The mean age at the time of secondary IOL implantation was 6 years and 10years in groups 1 and 2, respectively(p=0.009). Visual acuity improvement wasobtained in 46.7% of Group 1 cases and in 56.5% of Group 2 cases (p=0.741).
Conclusion
Secondary IOL implantation with either ciliary sulcus or scleral fixation is an effective procedure for optical rehabilitation in children with aphakia. To make a definite conclusion, prospective studies comparing different surgical techniques in larger series and with longer follow-up periods are needed.