Intraocular lens implantation in childhood in upper Egypt

ABSTRACT

The aim of this study was to evaluate the results of primary intraocular lens implantation [1 ry IOL] and secondary intraocular lens [2 ry IOL] in young age in Upper Egypt. Thirty patients were included in this study, their age ranged from three to 16 years. Extracapsular cataract extraction [ordinary or phaco] with 1 ry IOL was done for 26 eyes of 20 patients [six bilaterally and 14 cases unilaterally, the other eye was normal in six cases]. Secondary IOL was done for 14 eyes of ten patients [four bilaterally and six cases unilaterally, the other eye was normal in three cases]. The results have shown the development of vision in most of cases. Complications were more liable to occur with 2 ry IOL. Vision was limited by amblyopia in some patients, opacification of posterior capsule averagely occurred within two years after surgery regardless of patient age. It was concluded that primary intraocular lens implantation was safe in the selected children. Complications were more liable to occur with 2 ry IOL, posterior capsule opacified within two years after surgery regardless of patient age. Primary posterior capsulectomy is preferable in young patients who are not expected to be cooperative to do YAG laser within two years after surgery