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NR. 3(II)/2004
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Rozwój gałki ocznej
w pseudofakii dziecięcej – wyniki anatomiczne i czynnościowe
Eye growth in children with pseudophakia – anatomical and
functional results
Iwona Jaworowska-Cieślińska, Józef
Kałużny
Katedra i Klinika Chorób Oczu Akademii Medycznej w Bydgoszczy
Kierownik: prof. dr hab. med. Józef Kałużny |
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| Summary: |
Subjective: To
assess changes in axial length, corneal curvature,
refraction and visual acuity in paediatric pseudophakia.
Methods: 104 patients (123 eyes) operated between
January 1987 and December 1997 with congenital or
traumatic cataract. Serial measurements of axial length,
corneal curvature, refraction and visual acuity were
made.
Results: The follow-up time ranged from 2 to 10
years. Axial length changes ranged from 0.16 to 0.93 mm.
Eyes in the first 6 years of life (group I) experienced
more elongation than eyes in the older years (group II
and III). The corneal curvature changes ranged from 0.02
to 0.05 mm. There was no significant difference between
preoperative and postoperative corneal curvature.
Operated eyes tended to become myopic. Children who
underwent surgery in the first 6 years of live had a
greater myopic shift than older children.
Conclusions: The pattern of axial elongation and
corneal flattening was similar in the congenital and
traumatic cataract groups to that observed in normal
eyes. Pseudophakia in children is predicted to result in
a large quantity of myopic shift, particulary in very
young children. |
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| Key words: |
children, IOL, axial
length, corneal curvature, refraction, visual acuity. |
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