Outcome of intraocular lens implantation in children

We performed intraocular lens (IOL) implantation in 6 eyes of 5 children using a new procedure. The ages ranged from 4 years 8 month to 8 years 10 months, average 6 years 1 month. The follow-up period ranged from 6 months to 3 years 9 months, average 17.5 months. Following circular capsulorhexis and aspiration of lens material, anterior vitrectomy and posterior capsulorhexis were performed. The optics of IOL fixated in the bag was then luxated posteriorly to create optic capture. There were no serious complications either intra- or postoperatively. Aftercataract was slight in degree and did not affect the visual acuity. All the eyes increased visual acuity by 2 lines or more. The endothelial cell loss averaged 2.9%. The postoperative myopic shift averaged 0.69 diopters. The present surgical modality promises to be safe and effective in treating cataract or posterior lenticonus in children after the axial length has stabilized after 2 years 6 months of age.