ISSN : 2146-3123
E-ISSN : 2146-3131

Comparison of Two Intraocular Lens Implantation Techniques in Pediatric Cataract Surgery in Terms of Postoperative Complications
Mustafa Erdoğan Cicik1, Cezmi Doğan1, Selim Bölükbaşı2, Mehmet Necdet Cinhüseyinoğlu3, Osman Şevki Arslan1
1Department of Ophthalmology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey
2Clinic of Ophthalmology İstanbul Okmeydanı Training and Research Hospital, İstanbul, Turkey
3Private Bir İnci Eye Hospital, İstanbul, Turkey
DOI : 10.4274/balkanmedj.2017.1504


Background: Pediatric cataract surgery differs substantially from adult cataract surgery. Numerous studies have focused on reducing the development of postoperative complications.

Aims: To compare two intraocular lens implantation techniques used in pediatric cataract surgery in terms of postoperative complications.

Study Design: Case-control study.

Methods: Patients who underwent pediatric cataract surgery and intraocular lens implantation between 2008 and 2016 were evaluated in this retrospective study. Patients aged 3-15 years with unilateral or bilateral cataract and without corneal pathology were included in the study. The patients were separated into two groups: those who underwent posterior capsulorhexis and anterior vitrectomy with in-the-bag IOL implantation (group 1), and those who underwent posterior capsulorhexis and intraocular lens implantation with the optic fixed behind the posterior capsulorhexis (group 2). Rates of postoperative visual axis opacification and complications (glaucoma, posterior synechiae, uveitic reaction, intraocular lens decentration) were evaluated within these groups. Implanted intraocular lenses were either monoblock (AcrySof SN60AT intraocular lens), triple-piece (AcrySof MA60BM intraocular lens) foldable hydrophobic acrylic lenses or multifocal lenses (AcrySof IQ ReSTOR).

Results: This retrospective study included 52 eyes of 37 patients. Group 1 comprised 26 eyes of 20 patients and group 2 comprised 26 eyes of 17 patients. During follow-up, visual axis opacification was observed in 2 patients in group 1 but no patients from group 2. In terms of postoperative complications, there was no uveitic reaction, posterior synechiae, or intraocular lens decentration in either group. There was no significant difference between the groups in terms of the postoperative complications (p>0.05)

Conclusion: In pediatric cataract surgery, intraocular lens optic capture through a posterior capsulorhexis was slightly superior to in-the-bag intraocular lens implantation after posterior capsulorhexis and anterior vitrectomy in terms of the development of postoperative occlusion of the visual axis. However, no statistically significant difference was found between these two techniques.

Keywords : Cataract, intraocular lens, posterior capsule opacification, posterior capsulorhexis

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