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. 1998 Aug;82(8):911–915. doi: 10.1136/bjo.82.8.911

Use of intraocular lenses in children with traumatic cataract in south India

M Eckstein 1, P Vijayalakshmi 1, M Killedar 1, C Gilbert 1, A Foster 1
PMCID: PMC1722709  PMID: 9828776

Abstract

AIMS—To assess the long term results of intraocular lens (IOL) implantation for traumatic cataract in young children in a developing country.
METHODS—Prospective hospital based study of 52 children (age 2-10 years) undergoing unilateral cataract extraction and IOL insertion for traumatic cataract performed by a single surgeon in south India. Children were reviewed regularly and followed up initially for 3 years.
RESULTS—There were no serious operative complications. Clinically significant posterior capsule opacification was almost universal (92%) and YAG capsulotomy or membranectomy was performed on 48 eyes. Some degree of pupil capture affected 35% of eyes and was complete in 6%. Visual acuity was 6/12 or better in 67% of eyes at the last follow up examination.
CONCLUSION—The visual acuity results 3 years after implantation of posterior chamber IOLs in older children with traumatic cataracts in south India were encouraging. In developing countries where follow up is unreliable it is essential to plan to clear the axial part of the posterior capsule either at the time of surgery or soon afterwards.

 Keywords: intraocular lens; children; cataract; India

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Figure 1  .

Figure 1  

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Age at presentation of 52 children with traumatic cataract.

Figure 2  .

Figure 2  

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Kaplan-Meier curve illustrating the time between surgery and secondary procedure to remove the posterior capsule in 49 eyes with intact posterior capsule at time of surgery.

Figure 3  .

Figure 3  

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Graph comparing best corrected preoperative and final postoperative visual acuity in 52 eyes with intraocular lenses. Points above the line of equality represent improved visual acuity. (Numbers refer to identical points.)

Figure 4  .

Figure 4  

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Axial lengths of eyes with traumatic cataract before surgery.

Selected References

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