Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery

Abstract

To compare the results of 2 intraocular lens (IOL) implantation techniques in pediatric cataract surgery. Labbafinejad Medical Center, Tehran, Iran. This contralateral prospective randomized study comprised children with bilateral congenital or developmental cataract. In all cases, anterior capsulorhexis, lens aspiration, posterior continuous curvilinear capsulorhexis (PCCC), and anterior vitrectomy were performed. In 1 eye of each patient, a 3-piece AcrySof MA60BM IOL was implanted in the capsular bag. In the other eye, the same type of IOL was implanted in the ciliary sulcus and the optic was captured through the PCCC. Visual acuity, visual axis opacification, and complications were assessed. Twenty-eight eyes of 14 children were included in the study. The mean patient age at surgery was 5.1 years +/- 1.5 (SD) (range 2.5 to 8.0 years). The mean follow-up was 22.2 +/- 6.3 months (range 13 to 35 months). The visual axis remained clear in all eyes in both groups. There was no statistically significant difference between the 2 groups in best corrected visual acuity or complications (eg, postoperative uveitis, posterior synechia, significant IOL decentration). In pediatric cataract surgery, placement of haptics in the ciliary sulcus and IOL optic capture through the PCCC was a safe alternative to IOL implantation in the capsular bag.