Outcome of Hydrophilic Acrylic IOL Implantation for Children

Sunday, April 19, 2015: 3:41 PM
Room 1B (San Diego Convention Center)
Rupal H. Trivedi, MD
M. Edward Wilson, MD
Dina Tadros, MD
Jennifer D. Davidson, MD
Leah A. Owen, MD, PhD

To report outcome of hydrophilic IOL implantation in children.

Retrospective study. Eyes with hydrophilic IOL (Rayner C-flex 570 C) implantation were identified.  Outcome of primary IOL implantation was compared with the control group of hydrophobic IOL implantation (age matched, posterior capsule management, bag versus sulcus, follow-up matched).  Eyes with less than 1 year follow-up were excluded.

Seventy eyes were identified with hydrophilic IOL (traumatic:7; IOL exchange:5; piggyback: 2; <1yr f/u:20). In primary IOL implantation, 21 eyes had intact PC (hydrophilic: 7; AcrySofSN60 WF: 14).  Intervention for PCO: 2/7 hydrophilic versus 2/14 hydrophobic (P>0.05).   Eyes with primary PCV with sulcus fixated hydrophilic IOL in infants (n=6) were compared with AcrySofMA60 (n=7).  Surgery for removal of PCO was required in 5/6 eyes in hydrophilic group and none in hydrophobic (P = 0.01).  IOL repositioning was required in one eye of hydrophobic group.  In eyes with hydrophilic secondary IOL implantation, no further surgical intervention was required.

Visual axis opacification rate was higher after hydrophilic IOL implantation as compared to hydrophobic IOL implantation.  Hydrophilic IOL has satisfactory outcome when used as secondary IOL implantation.