The nationwide study of epikeratophakia for aphakia in older children.

Abstract

A nationwide study of epikeratophakia for aphakia in older children was conducted from March 1984 to March 1986. Sixty-three patients, 8 to 18 years of age, underwent this procedure in 65 eyes. Twenty-eight patients had congenital cataracts and 35 had traumatic cataracts. Fifty-one of the 65 eyes were aphakic at the time of surgery (secondary procedures). All surgeries were successful; no tissue lenses were lost or removed. Postoperatively, 73% of the patients were within 3 diopters (D) of emmetropia. The patients with congenital cataracts gained an average of one Snellen line of best-corrected visual acuity; patients with traumatic cataracts lost an average of one Snellen line of best-corrected visual acuity. In older pediatric patients, epikeratophakia appears to be a safe and effective procedure for the correction of aphakia.

• Authors: K S Morgan, M B McDonald, D A Hiles, J V Aquavella, D S Durrie, J D Hunkeler, H E Kaufman, R H Keates, D R Sanders
• Journal: Ophthalmology (Ophthalmology) Vol. 95 Issue 4 Pg. 526-32 (Apr 1988) ISSN: 0161-6420 [Print] United States
• PMID: 3050695 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Topics

• Aphakia (pathology, physiopathology, surgery)
• Child
• Cornea (pathology)
• Corneal Transplantation
• Humans
• Refraction, Ocular
• Time Factors
• Visual Acuity