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Objectives: The aim of this study was to evaluate the outcomes of pediatric developmental cataract surgery with primary intraocular lens (IOL) implantation. Materials and Methods: Patients between 2 and 16 years old who underwent cataract surgery with primary IOL implantation were retrospectively evaluated. Age at time of surgery, pre- and postoperative best corrected visual acuities, postoperative ocular complications, and any accompanying ocular pathologies were obtained from the patients’ charts. Mean refractive changes and degree of myopic shift were analyzed according to the age groups. Operated eyes were also compared with the fellow eyes in unilateral cases. Results: A total of 101 eyes of 65 patients were included. The average age at time of surgery was 76±40 months and the average follow-up period was 44±30 months. Among the 78 eyes that could be assessed for visual acuity improvement, 66 (84.6%) of them showed ≥2 lines of improvement. The difference in the mean refractive change between the 2-5 years old and 8-16 years old age groups was found to be statistically significant. However, the mean refractive change per year was not found to be significant between the same age groups. In unilateral cases, the operated eyes showed a greater myopic change than the fellow eyes, with no statistically significant difference. The most common postoperative complication was visual axis opacity. Conclusion: Good visual outcomes can be achieved following pediatric cataract surgery with primary IOL implantation. Optic axis opacities were the most common postoperative complications. Overall, refractive changes following surgery are inevitable, and more prominent in younger age groups.

Purpose: To evaluate the early and late post-operative results of the multifocal intraocular lens (IOL) implantation in pediatric cases. Material and Methods: Eleven eyes of 9 patients aged 5 to 11 years who underwent multifocal IOL implantation were enrolled. Pre and post-operative distance/near visual acuities with and without correction, spectacle usage, binocular function, contrast sensitivity, complications and subjective symptoms were evaluated. Results: Standard lensectomy surgery and multifocal IOL (Acrysof Restor SN6AD3) implantation was performed in all eyes. The mean age was 7.18±2.08 and the mean follow-up period was 43.8±13.2 months. Mean corrected visual acuity was 0.16±0.11 pre-operatively, and 0.63±0.15 in the early and 0.77±0.18 in the late post-operative period. Post-operative near visual acuity with distance correction was 0.34 in both the early and late periods. With additional near correction, visual acuities were 0.44±0.13 and 0.52±0.13 in the early and late periods, respectively. Two patients reported using spectacles for only distance post-operatively. Contrast sensitivity was Affected only in higher spatial frequencies in 75% of the eyes and both in lower and higher spatial frequencies in 12.5%. Posterior capsular opacification developed in all patients at the end of 18 months. YAG laser capsulotomy solved the problem in 8 eyes whereas pars plana capsulotomy was required in 3 eyes. Conclusion: Implantation of multifocal IOLs could be a satisfactory alternative in pediatric population above age 5, with better control of amblyopia, more patient comfort and less spectacle dependency. Long-term studies with big series are needed to show the safety and efficacy of multifocal IOLs in this age group. [ABSTRACT FROM AUTHOR]

Pediatric cataracts emerge as an important issue in pediatric ophthalmology practice since they are the most frequent cause of preventable childhood blindness. Pediatric cataracts offer many difficulties from diagnosis till treatment and the physician must be vigilant and systematic. In our review, we tried to present an approach for the diagnosis, surgery and postoperative rehabilitation of this controversial issue. [ABSTRACT FROM AUTHOR]

Childhood cataract surgery and optical rehabilitation are the most controversial issues in pediatric ophthalmology. Optical correction methods involve spectacles, contact lenses, and intraocular lens implantation and each method has advantages and disadvantages.In this review, we evaluated appropriate postoperative correction methods in pediatric cataracts and the difficulties encountered pre- and postoperatively, in particular inpatients undergoing intraocular lens implantation. [ABSTRACT FROM AUTHOR]