Pediatric Intraocular Lenses in Cataract Surgery

oftalmoloji-17-1-kapak-wosonayiyok

Sevil KARAMAN ERDURa , Bengi DEMİRAYAKb

aİstanbul Medipol University Faculty of Medicine, Department of Ophthalmology, İstanbul, Türkiye
bUniversity of Health Sciences Faculty of Medicine, İstanbul Bakırköy Sadi Konuk Training and Research Hospital, Department of Ophthalmology, İstanbul, Türkiye

ABSTRACT
This comprehensive article delves into the multifaceted world of pediatric cataract surgery, highlighting the challenges and critical factors that shape the outcomes for these young patients. Pediatric cataracts, though relatively rare, have a significant impact on childhood blindness. The article underscores the unique considerations in pediatric cases, such as the need for sharp near vision, challenges in managing astigmatism, and the importance of timely intervention to prevent amblyopia. Secondary intraocular lens (IOL) implantation emerges as a valuable option for children intolerant to aphakic correction, with a careful assessment of design and age-related concerns. The choice of IOL implantation site, influenced by capsular support, is pivotal. While premium lenses remain a less-explored territory in pediatric cases due to limited research, monofocal IOLs remain a standard choice, given their well-established safety and refractive outcomes. In summary, this article emphasizes the complexities of pediatric cataract surgery and the need for a tailored approach, considering age, astigmatism, IOL type, and amblyopia management, all aimed at enhancing the visual outcomes and quality of life for these young patients.
Keywords: Amblyopia; multifocal intraocular lenses; aphakia, congenital primary; pediatric cataract surgery; lenses, intraocular; phacoemulsification; cataract congenital dominant non nuclear

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