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Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery.
J Cataract Refract Surg. 2009 Jun; 35(6):1040-5.JC

Abstract

PURPOSE

To compare the results of 2 intraocular lens (IOL) implantation techniques in pediatric cataract surgery.

SETTING

Labbafinejad Medical Center, Tehran, Iran.

METHODS

This contralateral prospective randomized study comprised children with bilateral congenital or developmental cataract. In all cases, anterior capsulorhexis, lens aspiration, posterior continuous curvilinear capsulorhexis (PCCC), and anterior vitrectomy were performed. In 1 eye of each patient, a 3-piece AcrySof MA60BM IOL was implanted in the capsular bag. In the other eye, the same type of IOL was implanted in the ciliary sulcus and the optic was captured through the PCCC. Visual acuity, visual axis opacification, and complications were assessed.

RESULTS

Twenty-eight eyes of 14 children were included in the study. The mean patient age at surgery was 5.1 years +/- 1.5 (SD) (range 2.5 to 8.0 years). The mean follow-up was 22.2 +/- 6.3 months (range 13 to 35 months). The visual axis remained clear in all eyes in both groups. There was no statistically significant difference between the 2 groups in best corrected visual acuity or complications (eg, postoperative uveitis, posterior synechia, significant IOL decentration).

CONCLUSION

In pediatric cataract surgery, placement of haptics in the ciliary sulcus and IOL optic capture through the PCCC was a safe alternative to IOL implantation in the capsular bag.

Authors+Show Affiliations

Department of Ophthalmology, Ophthalmic Research Center, Shaheed Beheshti Medical University, Tehran, Iran. amirfaramarzy@yahoo.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19465290

Citation

Faramarzi, Amir, and Mohammad Ali Javadi. "Comparison of 2 Techniques of Intraocular Lens Implantation in Pediatric Cataract Surgery." Journal of Cataract and Refractive Surgery, vol. 35, no. 6, 2009, pp. 1040-5.
Faramarzi A, Javadi MA. Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery. J Cataract Refract Surg. 2009;35(6):1040-5.
Faramarzi, A., & Javadi, M. A. (2009). Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery. Journal of Cataract and Refractive Surgery, 35(6), 1040-5. https://doi.org/10.1016/j.jcrs.2009.02.017
Faramarzi A, Javadi MA. Comparison of 2 Techniques of Intraocular Lens Implantation in Pediatric Cataract Surgery. J Cataract Refract Surg. 2009;35(6):1040-5. PubMed PMID: 19465290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery. AU - Faramarzi,Amir, AU - Javadi,Mohammad Ali, PY - 2008/12/24/received PY - 2009/02/02/revised PY - 2009/02/04/accepted PY - 2009/5/26/entrez PY - 2009/5/26/pubmed PY - 2009/8/15/medline SP - 1040 EP - 5 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 35 IS - 6 N2 - PURPOSE: To compare the results of 2 intraocular lens (IOL) implantation techniques in pediatric cataract surgery. SETTING: Labbafinejad Medical Center, Tehran, Iran. METHODS: This contralateral prospective randomized study comprised children with bilateral congenital or developmental cataract. In all cases, anterior capsulorhexis, lens aspiration, posterior continuous curvilinear capsulorhexis (PCCC), and anterior vitrectomy were performed. In 1 eye of each patient, a 3-piece AcrySof MA60BM IOL was implanted in the capsular bag. In the other eye, the same type of IOL was implanted in the ciliary sulcus and the optic was captured through the PCCC. Visual acuity, visual axis opacification, and complications were assessed. RESULTS: Twenty-eight eyes of 14 children were included in the study. The mean patient age at surgery was 5.1 years +/- 1.5 (SD) (range 2.5 to 8.0 years). The mean follow-up was 22.2 +/- 6.3 months (range 13 to 35 months). The visual axis remained clear in all eyes in both groups. There was no statistically significant difference between the 2 groups in best corrected visual acuity or complications (eg, postoperative uveitis, posterior synechia, significant IOL decentration). CONCLUSION: In pediatric cataract surgery, placement of haptics in the ciliary sulcus and IOL optic capture through the PCCC was a safe alternative to IOL implantation in the capsular bag. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/19465290/Comparison_of_2_techniques_of_intraocular_lens_implantation_in_pediatric_cataract_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(09)00257-0 DB - PRIME DP - Unbound Medicine ER -