Refractive change in pediatric pseudophakia: 6-year follow-up.

Abstract:

PURPOSE:To evaluate the long-term evolution of refractive error changes in eyes of children who have primary intraocular lens (IOL) implantation to allow more accurate prediction of what IOL power should be implanted at a given age. SETTING:Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, Indiana, USA. METHODS:This study comprised all children between 2 and 15 years of age who had posterior chamber IOL implantation and who were followed for a minimum of 4 years postoperatively. Thirty-eight eyes of 27 patients with a mean follow-up of 6.1 years were evaluated. All refractions were performed manually by an experienced pediatric ophthalmologist. RESULTS:Children operated on at age 2 or 3 years had a mean myopic shift of 4.60 diopters (D) (range 0.50 to 10.75 D) over a mean of 5.8 years postoperatively. Children operated on at age 6 or 7 years had a mean myopic shift of 2.68 D (range 0.50 to 6.60 D) over a mean of 5.3 years. Children operated on at age 8 or 9 years had a mean myopic shift of 1.25 D (range -0.75 to 2.60 D) over a mean of 6.8 years. Patients operated on between ages 10 and 15 years had a mean shift of 0.61 D (range 0 to 1.90 D) over a mean of 5.7 years. CONCLUSIONS:The mean rate of myopic shift decreased throughout childhood, and the range of shift among individuals narrowed as patient age increased. However, the ability to predict future myopic shift for a given individual remains difficult, especially in younger patients.

authors

Plager DA,Kipfer H,Sprunger DT,Sondhi N,Neely DE

doi

10.1016/s0886-3350(01)01156-7

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

810-5

issue

5

eissn

0886-3350

issn

1873-4502

pii

S0886335001011567

journal_volume

28

pub_type

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