What's new AAPOS 2008 - The Private Eye Clinic

Bag-in-the-lens intraocular lens implantation in the pediatric eye.
Tassignon MJ, De Veuster I, Godts D, Kosec D, Van den Dooren K, Gobin L.
J Cataract Refract Surg. 2007 Apr;33(4):611-7.
PURPOSE: To study the efficacy, safety, and feasibility of implantation of a bag-in-thelens
intraocular lens (IOL) in children and babies.
METHODS: Thirty-four eyes of 22 children had implantation of a bag-in-the-lens IOL.
The ages ranged from 2 months to 14 years. Congenital cataract was present in 26
eyes, and persistent fetal vasculature (PFV) was concomitantly present in 4 eyes.
Fifteen patients had bilateral cataract, and 6 had unilateral cataract.
RESULTS: In 3 eyes, the IOL could not be properly implanted. In these cases,
secondary intervention was necessary because of early posterior capsule opacification.
The mean postoperative follow-up was 17.45 months +/- 17.12 (SD) (range 4 to 68
months). None of the children except those presenting with PFV had anterior vitrectomy
during surgery. The optical axis remained clear during the follow-up in all patients who
had successful IOL implantation.
CONCLUSIONS: The bag-in-the-lens implantation technique in children and babies was
safe and kept the visual axis clear after cataract surgery. In the near future, 4.0 or 4.5
mm IOLs will be available that may improve the success rate of IOL implantation in the
small eyes of babies.
Prognostic factors for strabismus surgery after cataract surgery.
Chung SE, Kyung SE, Oh SY.
J Cataract Refract Surg. 2007 Feb;33(2):297-300.
PURPOSE: To evaluate the clinical features of strabismus that present after cataract
surgery and determine the motor and sensory results after surgical correction of the
strabismus.
METHODS: Thirty-one patients who had strabismus surgery after cataract surgery
between January 1996 and June 2004 were included in the study. The clinical features
of strabismus and the factors contributing to successful strabismus surgery results were
retrospectively analyzed. Sensory functional tests were performed postoperatively.
RESULTS: Fifteen patients (48.4%) had exotropia. The types of cataract included
traumatic (35.5%), congenital (32.3%), and senile (25.8%). Prolonged deviation was the
statistically significant factor contributing to final alignment (P = .023). Fourteen of 31
patients had stereoacuity measurement; all achieved a stereoacuity of 3000 seconds of
arc. Five of the 14 patients (35.7%) had better than 200 seconds of arc.
CONCLUSIONS: The anatomical results and sensory function of the patients were
generally good. When appropriate, surgical intervention to treat strabismus after
cataract surgery should be offered, and this is important for restoration of fusion.
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