Infantile cataract surgery and intraocular lens implantation

ABSTRACT

To assess the long term results of cataract extraction and intraocular lens [IOL] implantation for congenital cataract. Prospective hospital based study of 39 children [age 6-13 months] underwent cataract extraction and lOLs implantation for congenital cataract in Assiut University Hospital and followed-up for 21 months [range 16-33 months]. Posterior capsulotomy and generous anterior vitrectomy was performed in all eyes. Forty nine eyes of 39 patients were included. At surgery, the mean age was 8.3 months [range 6 to 13 months]. The mean follow-up was 21 months [range 16 to 33 months]. At the last follow-up, 82.1% of children had central steady vision. Postoperative complications included anterior pupillary membrane [n=8], deposition on the anterior surface of the IOL [n=4], posterior pupillary membrane [n=3], pupil capture [n = 6], pseudophakic glaucoma [n=2], posterior synechia [n=3] and squint [n=13]. Implantation of lOLs in infants with congenital cataract is safe and effective and without serious postoperative complications