Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation

J Pediatr Ophthalmol Strabismus. 1999 May-Jun;36(3):118-24. doi: 10.3928/0191-3913-19990501-08.


Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation.

Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month.

Results: All IOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia.

Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cataract / complications
  • Cataract Extraction / methods*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Lens Capsule, Crystalline / surgery
  • Lens Implantation, Intraocular / methods*
  • Male
  • Postoperative Complications
  • Retrospective Studies
  • Visual Acuity*