|
NR 10-12/2007
|
|
|
|
|
|
|
|
|
Wtórne wszczepy
sztucznych soczewek wewnątrzgałkowych u dzieci
Secondary intraocular lens
implantation in children
Krystyna Kanigowska, Mirosława Grałek
Z Kliniki Okulistyki Instytutu „Pomnik – Centrum Zdrowia
Dziecka” w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
|
|
| Summary: |
Purpose: We
describe a technique for secondary intraocular lens
implantation in the ciliary sulcus in patients with
congenital cataract or with primary aphakia.
Material and methods: Secondary intraocular lens
implantation was performed in 119 eyes of 74 children.
The average age at this procedure was 6.8 (range 22
months to 10 years), whereas the average age at primary
cataract surgery was 18 weeks (range 7 weeks to 19
months). The average follow-up was 5.7 years. All eyes
received a PMMA IOL. The sites of IOL fixation was
ciliary sulcus. All patients had cataract extraction (lensectomy)
via the pars plana, leaving in situ peripheral
collarette of capsular bag to enable secondary lens
implantation.
Results: Complications included IOL dislocation
in five eyes, visual axis opacification in four,
pupillary capture in one eye.
Conclusions: Secondary IOL implantation in the
ciliary sulcus is a safe and effective method to correct
aphakia in pediatric patients with adequate capsular
support. This surgical procedure is associated with a
low rate of complications. |
| Słowa kluczowe: |
zaćma, lentektomia,
torebki soczewki, soczewka wewnątrzgałkowa |
| Key words: |
cataract, lensectomy,
capsular bag, intraocular lens. |
|
|
|
|
|
|
