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Bag-in-the-lens intraocular lens implantation in the pediatric eye.
J Cataract Refract Surg. 2007 Apr; 33(4):611-7.JC

Abstract

PURPOSE

To study the efficacy, safety, and feasibility of implantation of a bag-in-the-lens intraocular lens (IOL) in children and babies.

SETTING

Departments of Ophthalmology, University Hospital, Antwerp, Belgium, and the University Hospital, Ljubljana, Slovenia, and a private ophthalmology practice, Oudenaarde, Belgium.

METHODS

Thirty-four eyes of 22 children had implantation of a bag-in-the-lens IOL. The ages ranged from 2 months to 14 years. Congenital cataract was present in 26 eyes, and persistent fetal vasculature (PFV) was concomitantly present in 4 eyes. Fifteen patients had bilateral cataract, and 6 had unilateral cataract.

RESULTS

In 3 eyes, the IOL could not be properly implanted. In these cases, secondary intervention was necessary because of early posterior capsule opacification. The mean postoperative follow-up was 17.45 months +/- 17.12 (SD) (range 4 to 68 months). None of the children except those presenting with PFV had anterior vitrectomy during surgery. The optical axis remained clear during the follow-up in all patients who had successful IOL implantation.

CONCLUSIONS

The bag-in-the-lens implantation technique in children and babies was safe and kept the visual axis clear after cataract surgery. In the near future, 4.0 or 4.5 mm IOLs will be available that may improve the success rate of IOL implantation in the small eyes of babies.

Authors+Show Affiliations

Department of Ophthalmology, University Hospital Antwerp, Belgium. marie-jose.tassignon@uza.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17397732

Citation

Tassignon, Marie-José, et al. "Bag-in-the-lens Intraocular Lens Implantation in the Pediatric Eye." Journal of Cataract and Refractive Surgery, vol. 33, no. 4, 2007, pp. 611-7.
Tassignon MJ, De Veuster I, Godts D, et al. Bag-in-the-lens intraocular lens implantation in the pediatric eye. J Cataract Refract Surg. 2007;33(4):611-7.
Tassignon, M. J., De Veuster, I., Godts, D., Kosec, D., Van den Dooren, K., & Gobin, L. (2007). Bag-in-the-lens intraocular lens implantation in the pediatric eye. Journal of Cataract and Refractive Surgery, 33(4), 611-7.
Tassignon MJ, et al. Bag-in-the-lens Intraocular Lens Implantation in the Pediatric Eye. J Cataract Refract Surg. 2007;33(4):611-7. PubMed PMID: 17397732.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bag-in-the-lens intraocular lens implantation in the pediatric eye. AU - Tassignon,Marie-José, AU - De Veuster,Ilse, AU - Godts,Daisy, AU - Kosec,Dragica, AU - Van den Dooren,Karl, AU - Gobin,Laure, PY - 2006/10/12/received PY - 2006/12/19/accepted PY - 2007/4/3/pubmed PY - 2007/6/15/medline PY - 2007/4/3/entrez SP - 611 EP - 7 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 33 IS - 4 N2 - PURPOSE: To study the efficacy, safety, and feasibility of implantation of a bag-in-the-lens intraocular lens (IOL) in children and babies. SETTING: Departments of Ophthalmology, University Hospital, Antwerp, Belgium, and the University Hospital, Ljubljana, Slovenia, and a private ophthalmology practice, Oudenaarde, Belgium. METHODS: Thirty-four eyes of 22 children had implantation of a bag-in-the-lens IOL. The ages ranged from 2 months to 14 years. Congenital cataract was present in 26 eyes, and persistent fetal vasculature (PFV) was concomitantly present in 4 eyes. Fifteen patients had bilateral cataract, and 6 had unilateral cataract. RESULTS: In 3 eyes, the IOL could not be properly implanted. In these cases, secondary intervention was necessary because of early posterior capsule opacification. The mean postoperative follow-up was 17.45 months +/- 17.12 (SD) (range 4 to 68 months). None of the children except those presenting with PFV had anterior vitrectomy during surgery. The optical axis remained clear during the follow-up in all patients who had successful IOL implantation. CONCLUSIONS: The bag-in-the-lens implantation technique in children and babies was safe and kept the visual axis clear after cataract surgery. In the near future, 4.0 or 4.5 mm IOLs will be available that may improve the success rate of IOL implantation in the small eyes of babies. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/17397732/Bag_in_the_lens_intraocular_lens_implantation_in_the_pediatric_eye_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(07)00096-X DB - PRIME DP - Unbound Medicine ER -