NR 6/2004

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Zmiany refrakcji u dzieci z pseudofakią

Refractive changes in children with pseudofakia

Iwona Jaworowska-Cieślińska, Józef Kałużny

Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Bydgoszczy
Kierownik: prof. dr hab. n. med. Józef Kałużny

Summary: Purpose: To report refractive changes after cataract surgery and intraocular lens implantation in children.
Material and methods: 104 patients (123 eyes) operated between January 1987 and December 1997 with congenital or traumatic cataract. Refractive power in the both operated and non operated eyes, were measured.
Results: The 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. The mean myopic shift ranged from -2.33 D to -0.51 D in operated eyes and from -1.05 D to -0.49 D in non operated eyes.
Conclusions: Pseudophakia in children is predicted to result in a large quantity of myopic shift, particularly in very young children. This natural myopic shift is magnified by the optical effect of a high-power IOL.
Słowa kluczowe:  dzieci, sztuczna soczewka wewnątrzgałkowa, refrakcja, przesunięcie krótkowzroczne.
Key words: children, artificial intraocular lens, refraction, myopic shift.



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