Posterior lenticonus – the results of surgical treatment in children
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Abstract
Aim: To present the results of surgical treatment of the posterior lenticonus with implantion of multifocal IOLs in children.
Material and method: Lens aspiration with a multifocal IOL implantion was performed in 22 children aged 1–10 years. Before and during the 2–5-year follow- up, the anterior and posterior eye segment, visual acuity, binocular vision and intraocular pressure were evaluated.
Results: The visual acuity before surgery was ranged from 0.05 to 0.1. After the operation, it improved from 0.1 to 1.0 and depended mainly on the effectiveness of amblyopia treatment. Visual acuity better than 0.3 was found in 81.8% of operated patients. There was a significant improvement in binocular vision in comparison to the preoperative period. In 1 case, the child had to be reoperated due to the IOL dislocation. There were no glaucoma cases in the operated group of children.
Conclusions: Lens aspiration with a multifocal IOL implantation is a method that provide good functional outcomes in operated children. However, the technique of surgery treatment is more difficult than in the patients with congenital cataract due to the very thin and weak posterior lens capsule and occurrence pre-operative capsule tearings.
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Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
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