Insertion of piggyback intraocular lens in a case of congenital cataract.
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Accession number;04A0049660
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| Title;Insertion of piggyback intraocular lens in a case of congenital cataract. |
| Author;
NAKAIZUMI HIROKO
(School of Medicine, Kanazawa Medeical Univ., JPN)
SAKAMOTO AKIKO
(School of Medicine, Kanazawa Medeical Univ., JPN)
YAMADA YOSHIHISA
(School of Medicine, Kanazawa Medeical Univ., JPN)
SAKAI MASUMI
(School of Medicine, Kanazawa Medeical Univ., JPN)
TAKAHASHI NOBUO
(School of Medicine, Kanazawa Medeical Univ., JPN)
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Journal Title;Japanese Journal of Clinical Ophthalmology
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Journal Code:Z0515B
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ISSN:0370-5579
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VOL.58;NO.1;PAGE.75-79(2004)
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| Figure&Table&Reference;FIG.2, REF.20 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Background: There is no generally admitted indication for intraocular lens (IOL) implantation in children. Piggyback IOL may be of value in infants. Case: A 5-month-old infant presented with leukocoria in his right eye. The affected eye had congenital posterior polar cataract. The axial length measured 19.50mm right and 20.56mm left. The right eye underwent cataract surgery. Following aspiration of lens material, a 3-piece PMMA IOL of +25 diopters was inserted and fixed in the bag. Another acrylic IOL of +17 dipters was inserted and fixated anterior to the PMMA IOL. The postoperative refraction was about -2 diopters as intended. The acrylic IOL was removed after the refraction progressed to -9 diopters 3 months after surgery. Sixteen months after surgery, the right eye has +4 diopters of refraction. Visual acuity is about 0.3 in either eye. Conclusion: Piggyback IOL promises to be of value in infants as it may eliminate the need of contact lens wear and as it can be removed in accordance to changes in refraction. (author abst.) |
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