Clinical Outcome after Implantation of Intraocular Lens in Pediatric Cataract.

Kim, Ke Hahn; Lee, Jong Gwan; Lim, Heung Sik; Cha, Soon Cheol

Original Article

Journal of the Korean Ophthalmological Society 1998;39(7):1536-1543.
Published online July 1, 1998.

Clinical Outcome after Implantation of Intraocular Lens in Pediatric Cataract.

Ke Hahn Kim, Jong Gwan Lee, Heung Sik Lim, Soon Cheol Cha

Department of Ophthalmology, College of Medicine, Yeungnam University,Taegu, Korea.

소아백내장 환자에서 인공수정체삽입술의 임상결과

김계한(Ke Hahn Kim),이종관(Jong Gwan Lee),임흥식(Heung Sik Lim),차순철(Soon Cheol Cha)

Abstract

Safety and effect of intraocular lens implantation in pediatric cataract patients were studied. And properness of intraocular lens along postoperative refractive changes was evaluated. In the department of ophthalmology, Yeung-Nam University college of medicine, twenty-eight patients were performed lens aspiration with intraocular lens implantation for pediatric cataract from May 1992 to October 1996. Preoperative and postoperative visual acuity, refractive power and postoperative complication along operative methods were evaluated, retrospectively. After follow up period of 6-30 months(mean 17.7 months), visual improvement more than 2 lines was noted 28 eyes(77.8%) by Hahns visual acuity chart. The trends of myopic shift had no significance in statistically, it is proper that we selected intraocular lens power adjust to emmetropia in over 3 years old patients. The difference between preoperative and postoperative refractive power measured within 0 and -2 Diopters in 30 eyes(83%). Aimed intraocular lens power was calculated by using SRK/T fomula for emmetropia and adjustment for refractive error of fellow eye. Best corrected vision was obtained after medical treatment of amblyopia.

Key Words: Amblyopia;Intraocular lens implantation;Lens aspiration;Pediatric cataracts