A clinical trial on phakic intraocular lens for the treatment of refractive amblyopia in children and adolescents

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dc.contributor.authorMorya, Arvind Kumaren_US
dc.contributor.authorKaur, Kirandeepen_US
dc.contributor.authorGurnani, Bharaten_US
dc.contributor.authorJanti, Siddharam Sen_US
dc.contributor.authorShrivastava, Ankur Kumaren_US
dc.contributor.authorTejaswini, Antarvedien_US
dc.contributor.authorSinha, Aprajitaen_US
dc.contributor.authorVenkatesh, Dharavathen_US
dc.date.accessioned2023-08-25T06:36:24Z
dc.date.available2023-08-25T06:36:24Z
dc.date.issued2023-03
dc.description.abstractPurpose: To analyze the demographics and clinical outcomes of posterior chamber phakic intraocular (IOL) implantation for refractive amblyopia in children and adolescents. Methods: A prospective interventional study was performed on children and adolescents with amblyopia at a tertiary eye care center from January 2021 to August 2022. Twenty?three eyes of 21 anisomyopic and isomyopic amblyopia patients operated for posterior chamber phakic IOL (Eyecryl phakic IOL) as a treatment for amblyopia were included in the study. Patient demographics, pre? and postoperative visual acuity, cycloplegic refraction, anterior and posterior segment examination, intraocular pressure, pachymetry, contrast sensitivity, endothelial count, and patient satisfaction scores were evaluated. Patients were followed up at day 1, 6 weeks, 3 months, and 1 year after surgery, and visual outcomes and complications were documented. Results: The mean age of patients was 14.16 ± 3.49 years (range: 10–19 years). The mean intraocular lens power was ? 12.20 diopter spherical (DS) in 23 eyes and ? 2.25 diopter cylindrical (DC) in four patients. The mean unaided distant visual acuity (UDVA) and best?corrected visual acuity (BCVA) were 1.39 ± 0.25 and 0.40 ± 0.21 preoperatively on the log of minimum angle of resolution (logMAR) chart. Postoperatively, the visual acuity improved by 2.6 lines in 3 months period and maintained till 1 year. Postsurgery, contrast sensitivity in the amblyopic eyes significantly improved, and the average endothelial loss recorded was 5.78% at 1 year, which was statistically insignificant. Patient satisfaction score was statistically significant, with 4.736/5 recorded on the Likert scale. Conclusion: Posterior chamber phakic IOL is a safe, effective, and alternative method for treating amblyopia patients who are noncompliant with glasses, contact lenses, and keratorefractive procedures.en_US
dc.identifier.affiliationsCataract, Glaucoma, Refractive, Squint, Pediatric Ophthalmology and Medical Retina Services, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsConsultant Cataract, Pediatric Ophthalmology, and Strabismus, Satguru Netra Chikitsalya, Shri Sadguru Seva Sangh Trust, Janaki-kund, Chitrakoot, Madhya Pradesh, Indiaen_US
dc.identifier.affiliationsCataract, Cornea, External Disease, Trauma, Ocular Surface and Refractive Surgery, Satguru Netra Chikitsalya, Shri Sadguru Seva Sangh Trust, Janaki-kund, Chitrakoot, Madhya Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, Indiaen_US
dc.identifier.affiliationsSpecialty Doctor Ophthalmology, Worcestershire Acute Hospitals NHS Trust, United Kingdomen_US
dc.identifier.affiliationsDepartment of Ophthalmology, All India Institute of Medical Sciences, Bibinagar, Telangana, Indiaen_US
dc.identifier.citationMorya Arvind Kumar, Kaur Kirandeep, Gurnani Bharat, Janti Siddharam S, Shrivastava Ankur Kumar, Tejaswini Antarvedi, Sinha Aprajita, Venkatesh Dharavath. A clinical trial on phakic intraocular lens for the treatment of refractive amblyopia in children and adolescents. Indian Journal of Ophthalmology. 2023 Mar; 71(3): 804-809en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224880
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber3en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.4103/IJO.IJO_2567_22en_US
dc.subjectAmblyopiaen_US
dc.subjectanisometropiaen_US
dc.subjectanisomyopicen_US
dc.subjectisomyopicen_US
dc.subjectphakic IOLen_US
dc.titleA clinical trial on phakic intraocular lens for the treatment of refractive amblyopia in children and adolescentsen_US
dc.typeJournal Articleen_US
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