New-generation multifocal intraocular lens for pediatric cataract.

Abstract

BACKGROUND/AIMS:

To evaluate multifocal intraocular lens (MIOL) implantation in children.

METHODS:

This is a retrospective study evaluating refractive, visual and safety results of MIOL in pediatric cataract surgery. Average follow-up was 25.73 ± 10.5 months. Surgery included 12 o'clock clear corneal incision, anterior capsulorhexis, lens material aspiration and MIOL implantation (SN6AD3; Alcon).

RESULTS:

We included 34 cataract eyes of 26 pediatric patients aged 2-15 years, of which 14 (54%) were unilateral. Best near visual acuity (BNVA) and best distance visual acuity (BDVA) improved significantly in 100% of eyes (p = 0.0001). BDVA was above 0.8 in 31.25% (5/16) of bilateral cases. Significant stereopsis improvement was observed postoperatively in bilateral cases only (p = 0.01).

CONCLUSION:

MIOL implantation is a safe alternative to monofocal pseudophakia for pediatric cataract with a very low complication rate. Significant BNVA, BDVA and stereopsis improvement can be achieved, particularly in bilateral cases.

MESSAGE:

This study shows significant BDVA, BNVA and stereopsis improvement, especially in bilateral cases, after MIOL implantation for pediatric cataracts.

• Authors: Hana Abouzeid, Leila Moetteli, Francis L Munier
• Journal: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde (Ophthalmologica) Vol. 230 Issue 2 Pg. 100-7 ( 2013) ISSN: 1423-0267 [Electronic] Switzerland
• PMID: 23880970 (Publication Type: Journal Article)
• Copyright: © 2013 S. Karger AG, Basel.

Topics

• Adolescent
• Cataract (congenital)
• Cataract Extraction
• Child
• Child, Preschool
• Female
• Humans
• Lens Implantation, Intraocular
• Lenses, Intraocular
• Male
• Prosthesis Design
• Retrospective Studies
• Visual Acuity