Purchase this article with an account.
O. Roche, N. Martinet Contantin, C. Orssaud, J.-L. Dufier; Multifocal Iol Implantation in Children With Traumatic Cataracts. Invest. Ophthalmol. Vis. Sci. 2009;50(13):5618.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Visual outcomes after multifocal IOL implantation in children with traumatic cataracts.
Patients with traumatic eye injury between 2001 and 2008 at Necker Hospital - Enfants Malades, APHP, René Descartes University, Paris 5, France, were included according to pupil aspect, cornea state and lens condition. Patients with posterior segment injury were not included. Epidemiologic data, lens power, mean visual acuity, post-operative refraction were retrospectively analysed. Specific surgical conditions and complications were reported.
20 patients were included. All cataracts were unilateral. Mean age at traumatism was 6.9. Mean age at surgery was 7.9. Mean lens power was 22 D. Mean initial far visual acuity was 20/200. Far final visual acuity was 20/40. All children had complete glasses independence. No major complication was reported.
Traumatized eyes are most likely to experience lens decentration or pupillary abnormalities after surgery. In our experience, using multifocal IOL in selected cases of traumatic cataract provides good visual outcomes. Moreover, in younger patients, this design of optic lens allowed an efficient treatment of amblyopia. Multifocal IOL should be considered in management of traumatic cataract in children.
This PDF is available to Subscribers Only