Abstract
Fifteen children with unilateral congenital cataracts received epikeratophakia grafts for the correction of aphakia. Twelve of them had dense and three had incomplete cataracts. The majority of patients with dense cataracts (10/12) underwent cataract extraction as a primary treatment. Epikeratophakia was performed in these children as a secondary procedure when contact lens therapy failed. Two of the children with dense cataracts and all those with incomplete cataracts underwent combined cataract extraction and epikeratophakia. Follow-up ranged from 10 months to 3.5 years. Of the 15 epikeratophakia procedures performed 93.3% (14/15) were successful. Postoperative visual acuity (VA) of 20/200 or better was achieved in three (27.3%) of the 11 patients with dense cataracts who had successful surgery. The majority (9/11) of these children demonstrated improvement in VA after a combination of epikeratophakia and amblyopia therapy. All the children with incomplete unilateral cataracts had good VA at the end of follow-up. The refractive results in children who were treated as a secondary procedure were better than those treated in combination with lensectomy; the amount of correction was remarkably predictable in both. The results have demonstrated that epikeratophakia corrects refractive errors in aphakic children safely and successfully, either as a primary procedure, or as a secondary procedure after cataract extraction.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
More From: European Journal of Implant and Refractive Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.