NR 10-12/2007

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Retrospektywna ocena długości osiowej gałki ocznej po operacji jednostronnej zaćmy z wszczepem sztucznej soczewki wewnątrzgałkowej u dzieci i młodzieży

Retrospective evaluation of ocular axial length after unilateral cataract surgery with intraocular lens implantation in children and adolescents

Beata Urban, Alina Bakunowicz-Łazarczyk, Dorota Średzińska-Kita, Małgorzata Mrugacz

Z Kliniki Okulistyki Dziecięcej Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. n. med. Alina Bakunowicz-Łazarczyk

Summary: Purpose: To evaluate the postoperative ocular axial length in children, who had unilateral cataract extraction with intraocular lens implantation.
Material and methods: In this retrospective study we studied 20 children (12 boys and 8 girls) in age from 7 to 20 years (mean 14 ±3.65 years), who had undergone surgery for unilateral cataract: 8 children had congenital cataract; 7 patients had traumatic cataract; in 5 cases there were secondary cataract: 3 children had cataract after uveitis, in 1child cataract was due to steroid therapy because of nephrotic syndrome and 1 patient had neurodermatic cataract. In 16 cases PMMA lens was used, heparinized lens was implanted in 3 eyes and acrylic lens in 1 eye. The power of implants was from +19 D to +24 D (mean 20.98 ±1.6 D). All measurements of axial length were obtained using ultrasound A scan. Examination was done from 14 months to 7.5 years after surgery (mean 3.5±1.55 years). The axial length in the operated eyes was compared with axial length of the fellow nonoperated eyes.
Results: Mean axial length in operated eyes was 22.58±1.56 mm. Mean axial length in fellow eyes was 22.96±1.42 mm. There were no significant differences between operated and nonoperated eyes (p>0,05).
Conclusions: Cataract extraction with intraocular lens implantation does not influence rate of axial growth in children and adolescents.
Słowa kluczowe:  długość osiowa gałki, pseudofakia, dzieci i młodzież.
Key words: axial length, pseudophakia, children and adolescents.



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