Aphakic correction with good results can be achieved with either a contact lens or an IOL. Aphakic correction for a particular child should be tailored to its needs, social and environmental.
Once a pediatric IOL implant has been decided upon, the physician must formulate a plan for the posterior capsule based on the child's age. If the child is 6 or under the surgeon may well need to consider a primary posterior capsulotomy and anterior vitrectomy in order to maintain a clear visual axis. However, in those over the age of 6 the posterior capsule may be left intact and subsequent YAG capsulotomy performed if indicated. For the physician implanting an IOL in a child over the age of 2, undercorrection by no more than 3 diopters is done in order to help compensate the expected myopic shift as the axial length increases. The amount of undercorrection will decrease with increasing patient age. The propensity for IOL capture and inflammatory reaction should be carefully noted and candidates for IOL should be screened accordingly. If these points are adhered to IOL implantation in the pediatric age group is made easier. Finally, it should be remembered that this procedure is by no means risk-free in the pediatric age group
P. Mullaney ,
Pediatric intraocular lens implantation,
Middle East J. Ophthalmol. 1994;
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