RESULTS OF INTRAOCULAR-LENS IMPLANTATION IN PEDIATRIC APHAKIA

被引:41
|
作者
MARKHAM, RHC
BLOOM, PA
CHANDNA, A
NEWCOMB, EH
机构
关键词
AMBLYOPIA; CONGENITAL CATARACT; INTRAOCULAR LENSES; POLYHEMA LENSES; PREFERENTIAL LOOKING; RESIDUAL REFRACTION;
D O I
10.1038/eye.1992.104
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Intraocular lenses were implanted in 16 eves of 13 patients with congenital cataract, and visual progress was plotted using a preferential-looking technique. Initial surgery was by lens aspiration with preservation of the posterior capsule, and subsequent posterior capsulotomy without anterior vitrectomy. Poly-HEMA posterior chamber lenses were used, usually as a primary procedure but in four cases as a secondary procedure after contact lens failure. No serious complications were encountered. Most eyes achieved a very significant visual improvement, and none were worse than preoperatively. Residual refractive error was highly unpredictable, but did not exceed 6 dioptres. The importance of rigorous occlusion therapy is stressed. With close follow-up, this procedure offers an effective and safe method for the correction of unilateral paediatric aphakia, and, in selected cases only for bilateral aphakia.
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页码:493 / 498
页数:6
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