Primary intraocular lens implantation in the first two years of life: safety profile and visual results.

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dc.contributor.authorRam, Jagaten_US
dc.contributor.authorBrar, Gagandeep Singhen_US
dc.contributor.authorKaushik, Sushmitaen_US
dc.contributor.authorSukhija, Jaspreeten_US
dc.contributor.authorBandyopadhyay, Supratiken_US
dc.contributor.authorGupta, Amoden_US
dc.date.accessioned2007-05-26en_US
dc.date.accessioned2009-05-29T09:40:16Z
dc.date.available2007-05-26en_US
dc.date.available2009-05-29T09:40:16Z
dc.date.issued2007-05-26en_US
dc.description.abstractPURPOSE: To study the safety profile of primary intraocular lens (IOL) implantation in the first two years of life. MATERIALS AND METHODS: A prospective nonrandomized, interventional study was done at the tertiary care center. Forty-five eyes of 27 children (aged three weeks to two years) with congenital cataract who underwent phacoaspiration with continuous curvilinear capsulorrhexis combined with primary posterior capsulotomy and anterior vitrectomy with in the bag placement of IOL at primary surgery were included. Outcome measures were clarity of visual axis, postoperative inflammation, fixation pattern and retinoscopy. RESULTS: The mean IOL power was 23.95 +/- 0.87 diopter (D) (range 22D to 27D). Follow-up ranged from 12 months to 48 months (mean 18 +/- 9.13 months). In infants, hypermetropia decreased from 6.60D +/- 2.64D at one week postoperatively to 3.03D +/- 2.53D at one year following surgery and 4.78D +/- 1.93D to 2.56D +/- 1.5D in children older than one year at the time of surgery. Re-opacification of the central visual axis was observed in six eyes (13.3%). Significant posterior synechiae due to irido-capsular adhesion was seen in seven eyes (15.6%). Five of these seven eyes also had significant posterior capsular opacification. CONCLUSIONS: Meticulously performed primary IOL implantation and primary posterior capsulorrhexis with anterior vitrectomy in the first two years of life is a safe and effective method of aphakic correction.en_US
dc.description.affiliationDepartment of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. jagatrampgi@yahoo.co.inen_US
dc.identifier.citationRam J, Brar GS, Kaushik S, Sukhija J, Bandyopadhyay S, Gupta A. Primary intraocular lens implantation in the first two years of life: safety profile and visual results. Indian Journal of Ophthalmology. 2007 May-Jun; 55(3): 185-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/71849
dc.language.isoengen_US
dc.source.urihttps://www.ijo.inen_US
dc.subject.meshCapsulorhexisen_US
dc.subject.meshCataract --congenitalen_US
dc.subject.meshCataract Extractionen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHyperopia --etiologyen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshLens Implantation, Intraocular --adverse effectsen_US
dc.subject.meshMaleen_US
dc.subject.meshPostoperative Perioden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshVision, Ocularen_US
dc.subject.meshVitrectomyen_US
dc.titlePrimary intraocular lens implantation in the first two years of life: safety profile and visual results.en_US
dc.typeJournal Articleen_US
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