Phakic Intraocular Lens to Correct High Myopic Amblyopia in Children

Journal of Refractive Surgery - Tập 18 Số 5 - Trang 519-523 - 2002
L Lesueur1, J L Arné
1Department of Ophthalmology, Purpan Hospital, University of Toulouse, France. [email protected]

Tóm tắt

ABSTRACT PURPOSE: In a clinical investigation, we evaluated anatomical and functional outcomes of posterior phakic chamber lens (ICL) implantation for correction of high myopia with amblyopia in children. METHODS: Twelve eyes of 11 children, age 3 to 16 years, with high myopic amblyopia were operated with implantation of a Staar Surgical ICL. In these patients, conventional therapy with spectacles or contact lenses was unsuccessful. Mean preoperative spherical equivalent refraction was -12.70 D (range -8.00 to -18.00 D) and best spectaclecorrected visual acuity ranged from count fingers to 20/63. Mean follow-up was 20.5 months (range 3 to 48 mo) Preoperative and postoperative anatomical and functional outcomes were compared. RESULTS: We noted good tolerance of ICLs without inflammatory reactions or secondary capsular opacity, stable intraocular pressure, and good ICL position in all eyes. Predictability was +0,71 D (range -0.75 to +2.00 D). Mean postoperative best spectacle-corrected visual acuity was 20/63. Recovery of binocular vision was achieved in six patients and orthotropic position in seven patients. Quality of life was improved in all patients. CONCLUSION: The Staar Surgical phakic ICL appeared to be an effective method to treat high myopia in children with amblyopia. Good results with high satisfaction were noted. [J Refract Surg 2002;18:519-523]

Từ khóa


Tài liệu tham khảo

1. Singh D. Photorefractive keratectomy in pediatric patients. J Cataract Refract Surg 1995;21:630-632.

2. Nano HD Muzzin S Irigaray F. Excimer laser photorefractive keratectomy in pediatric patienta. J Cataract Refract Surg 1997;23:736-739.

3. Alio JL Artola A Claramonte P Ayala MJ Chipont E. Photorefractive keratectomy for pediatric myopic anisometropia. J Cataract Refract Surg 1998;24:327-330.

4. Rashad KM. Laser in situ keratomileusis for myopic anisometropia in children. J Refract Surg 1999;15:429-435.

5. Agarwal A. Results of pediatric laser in situ keratomileusis. J Cataract Refract Surg 2000;26:684-689.

6. Lesueur L Arne JL. Implantation of a phakic posterior chamber lens (ICL) for correction of high myopia in children. J Cataract Refract Surg 1999;25:1571-1575.

7. Lesueur L Chapotot E Arne JL Perron-Buscail A Deneuville S. Predictability of amblyopia in ametropic children. A review of 96 cases. J Fr Ophtalmol 1998;21:415-424.

8. Baikoff G Arne JL Bokobza Y Colin J George JL Lagoutte F Lesure P Montard M Saragoussi JJ Secheyron P. Anglefixated anterior chamber phakic intraocular lens for myopia of -7 to -19 diopters. J Refract Surg 1998;14:282-293.

9. Menezo JL Avino JA Cisneros A Rodriguez-Salvador V Martinez-Costa R. Iris claw phakic intraocular lens for high myopia. J Refract Surg 1997;13:545-555.

10. Zaldivar R Davidorf JM Oscherow S. Posterior chamber phakic intraocular lens for myopia of -8 to -19 diopters. J Refract Surg 1998;14:294-305.

11. Arne JL Lesueur CL. Phakic posterior chamber lenses for high myopia: functional and anatomical outcomes. J Cataract Refract Surg 2000;26:369-374.

12. Rosen E Gore C. Staar Collamer posterior chamber phakic intraocular lens to correct myopia and hyperopia. J Cataract Refract Surg 1998;24:596-606.

13. Sanders D Brown D Martin J Deitz M DeLucia M. Implantable contact lens for moderate to high myopia: Phase 1 FDA clinical study with 6 month follow-up. J Cataract Refract Surg 1998;24:607-611.

14. Fink AM Gore C Rosen E. Cataract development after implantation of the Staar Collamer posterior chamber phakic lens. J Cataract Refract Surg 1999;25:278-282.

15. Pesando PM Ghiringhello MP Tagliavacche P. Posterior chamber collamer phakic intraocular lens for myopia and hyperopia. J Refract Surg 1999;15:421-423.

16. Lesueur L Arne JL Chapotot E Thouvenin D Malecaze F. Visual outcome after paediatric cataract surgery: Is age a major factor? Br J Ophthalmol 1998;82:1022-1025.

17. Peterseim MW Wilson ME. Bilateral intraocular lens implantation in the pediatric population. Ophthalmology 2000;107:1261-1267.

18. Tbwnshend A Holmes J Evans L. Depth of anisometropic amblyopia and difference in refraction. Am J Ophthalmol 1993;116:431-436.

Thông tin
Thông tin xuất bản

Journal of Refractive Surgery

Tập 18 Số 5

519-523

Thông tin tác giả