Muzaffar Iqbal, Sanaullah Jan, Mohammad Naeem Khan, Arshad Iqbal, Shad Mohammod.
Pediatrics intraocular lens implantation complications and visual outcome.
Pak J Med Res Jan ;43(3):108-12.

Objectives: To identify the postoperative complications and visual outcome after posterior chamber intraocular lens (IOL) implantation in children. Design: It was a prospective study of 29 eyes of 25 children who were below 16 years of age. Place & Duration: This study was in Ophthalmology Department, Post Graduate Medical Institute, Lady Reading Hospital, Peshawar, from January 1998 to December 1999. Material & Methods: After preoperative assessment and investigations all cases underwent extracapsular cataract extraction with posterior chamber intraocular lens implants under general anaesthesia. These patients were then followed up on 1st postoperative day, 10th day, 30th day and then after 90th day. Their postoperative complications and visual outcome were recorded. Results: Eighteen (72%) of children were male. Four patients had bilateral intraocular lens implantation. In 68% cases, cataract was traumatic in origin, while 32% were congenital or developmental lens opacities. Visual acuity (VA), on presentation was less than 3/60 in 89.65% of cases. Postoperative final visual acuity of 6/18 or better was found in 43.37% of cases. In 24.13%, corrected visual acuity in the range of 6/60 to 6/24 was noted. In 6.89%, visual acuity of 3/60 or better (but less than 6/60) was achieved. In 24.13%, final visual acuity was less than 3/60. The most common complication encountered was posterior capsule opacification (PCO) i.e. 51.72%. This was followed by fibrinous exudates formation (20.68%). Conclusion: Posterior capsule opacification and fibrinous exudation are the common postoperative complications after intraocular lens implantation in children. Better visual outcome can be achieved by parent`s guidance and motivation.

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