| Outcome and complications of intraocular lenses in children with cataract. | |
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MedLine Citation:
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PMID: 8844387 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To assess prospectively the complications and changes in refraction, axial length, and keratometry after intraocular lens (IOL) implantation in children with congenital, developmental, and traumatic cataracts. SETTING: The Children's Hospital, Dublin, Ireland. METHODS: The study comprised 24 eyes of 20 patients, aged 4 weeks to 12 years, who had extracapsular cataract extraction and posterior chamber IOL implantation. Mean follow-up was 103 weeks (range 34 to 270 weeks). RESULTS: Six eyes with congenital cataracts operated on between 4 and 28 weeks of age had central, steady, maintained fixation postoperatively. In the developmental cataract group, 64% achieved a visual acuity of 6/24 or better and 43%, 6/12 or better. In the three traumatic cases, visual acuities were 6/6, 6/9, and 6/24. Posterior capsule opacification occurred in 95.8% of eyes and was treated with a neodymium: YAG or Zeigler knife posterior capsulotomy as a secondary procedure. Other postoperative complications (membranous uveitis, iris capture, posterior synechias, iris prolapse) occurred in 29.2% of eyes. CONCLUSION: With careful management and patient selection, the use of IOLs in children can produce good visual results with a minimum of complications. Further follow-up is needed to assess the long-term visual outcome, complications, and changes in refraction. |
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Authors:
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D Knight-Nanan; M O'Keefe; R Bowell |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of cataract and refractive surgery Volume: 22 ISSN: 0886-3350 ISO Abbreviation: J Cataract Refract Surg Publication Date: 1996 Jul-Aug |
Date Detail:
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Created Date: 1996-12-05 Completed Date: 1996-12-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8604171 Medline TA: J Cataract Refract Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 730-6 Citation Subset: IM |
Affiliation:
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Children's Hospital, Dublin, Ireland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cataract
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complications*,
congenital,
etiology Cataract Extraction* Child Child, Preschool Eye Injuries / complications Female Follow-Up Studies Humans Infant Infant, Newborn Lens, Crystalline / injuries Lenses, Intraocular / adverse effects* Male Postoperative Complications / etiology* Prospective Studies Treatment Outcome Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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