Results of congenital cataract surgery with and without intraocular lens implantation in infants and children
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Results of congenital cataract surgery with and without intraocular lens implantation in infants and children Gilad Borisovsky & Gilad Silberberg & Tamara Wygnanski-Jaffe & Abraham Spierer
Received: 25 October 2012 / Revised: 17 February 2013 / Accepted: 13 March 2013 # Springer-Verlag Berlin Heidelberg 2013
Abstract Background Operations for congenital cataract in children in the past had resulted in aphakia. Improvement in surgical tools and techniques as well as in intraocular lens (IOL) implantation has led to correction of the aphakia by IOL implantation. We report the outcome of cataract surgery with and without IOL on these children in our institution between 1991–2008. Methods In this retrospective cohort study, the medical records of all children who underwent surgery for congenital cataract were reviewed. The final study group included 144 children (218 eyes). Postoperative visual acuity (VA) was tested either by Teller Acuity Cards (in preverbal children) or by the Snellen chart. Data on VA status and postoperative complications were retrieved. Results Patients with bilateral cataract had better postoperative VA than patients with unilateral cataract (logMAR 0.559± 0.455 vs. 0.919±0.685, respectively, P
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