Intraocular lens implantation in children with unilateral traumatic cataract

Int Ophthalmol. 1990 Jul;14(4):271-6. doi: 10.1007/BF00159863.


A group of 23 children with traumatic pseudophakia was evaluated. Intraocular lens (IOL) implantation was performed as a primary procedure, immediately after aspiration of the traumatic lens, in 7 cases and as a secondary procedure in 16 cases. The mean followup was 6.5 years, varying from 1.5 to 11 years. A visual acuity of 0.7 or more was achieved in 3 of the 8 patients under 7 years of age and in 13 of the 15 cases from 7 to 14 years of age. Awaiting longer follow-up results of epikeratophakia in children we advise to perform early IOL implantation in children under 7 years of age, combined with a rigid amblyopia treatment scheme. In children older than 7 years of age we prefer to try the use of contact lenses first and preserve IOL implantation for selected cases.

MeSH terms

  • Adolescent
  • Amblyopia / etiology
  • Amblyopia / therapy
  • Cataract / etiology*
  • Cataract Extraction
  • Child
  • Child, Preschool
  • Contact Lenses
  • Eye Injuries, Penetrating / complications*
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Lenses, Intraocular*
  • Male
  • Prognosis
  • Refraction, Ocular
  • Visual Acuity