The use of contact lenses following intra-ocular lens (IOL) implantation in infants born with congenital cataracts

2013 ◽  
Vol 36 ◽  
pp. e37
Author(s):  
Helen Wilson
Keyword(s):  
Contact Lenses ◽  
Ocular Lens ◽  
Congenital Cataracts ◽  
Iol Implantation

The blue-green autofluorescence of the human ocular lens after the wear of PMMA contact lenses

2009 ◽  
Vol 72 (1) ◽  
pp. 67-71 ◽  
Author(s):  
P. M. Boets ◽  
Jan H. C. Kok ◽  
Jaap A. Best
Keyword(s):  
Contact Lenses ◽  
Ocular Lens

scholarly journals Optic results of primary IOL implantation in children of young age in phacoaspiration of different kinds of congenital cataracts

2011 ◽  
Vol 32 (4) ◽  
pp. 5-12
Author(s):  
N. Bobrova ◽  
◽  
S. Tronina ◽  
А. Dembovetskaya ◽  
А. Zhekov ◽  
...  
Keyword(s):  
Young Age ◽  
Congenital Cataracts ◽  
Iol Implantation

scholarly journals Refractive Changes after Removal of Anterior IOLs in Temporary Piggyback IOL Implantation for Congenital Cataracts

2013 ◽  
Vol 27 (2) ◽  
pp. 93
Author(s):  
Dong Hui Lim ◽  
Sung-Ho Choi ◽  
Tae-Young Chung ◽  
Eui-Sang Chung
Keyword(s):  
Congenital Cataracts ◽  
Iol Implantation ◽  
Piggyback Iol

scholarly journals Comparison of Contact Lens and Intraocular Lens Correction of Monocular Aphakia During Infancy

2015 ◽  
Vol 8 (1) ◽  
pp. 21
Author(s):  
Natalie Weil ◽  
Scott R Lambert ◽  
◽  
Keyword(s):  
Health Insurance ◽  
Adverse Events ◽  
Intraocular Lens ◽  
Private Health Insurance ◽  
Contact Lenses ◽  
Visual Outcome ◽  
Direct Costs ◽  
Iol Implantation ◽  
Good Visual Outcome ◽  
Baseline Predictor

The Infant Aphakia Treatment Study recommended primary intraocular lens (IOL) implantation be reserved for infants with parents unable to manage contact lenses. The best baseline predictor of a good visual outcome was private health insurance. IOL implantation was associated with more adverse events, but lower direct costs to parents.

Contact Lens Versus Intraocular Lens Correction of Monocular Aphakia During Infancy

2020 ◽  
pp. 297-302
Author(s):  
Alan D. Penman ◽  
Kimberly W. Crowder ◽  
William M. Watkins
Keyword(s):  
Clinical Trial ◽  
Visual Acuity ◽  
Intraocular Lens ◽  
Contact Lens ◽  
Congenital Cataract ◽  
Contact Lenses ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Iol Implantation ◽  
Significant Difference

The Infant Aphakia Treatment Study was a randomized, controlled clinical trial in children, between the age of 28 days and 210 days at the time of surgery, with a visually significant congenital cataract (≥3 mm central opacity) in one eye, to determine whether immediate intraocular lens (IOL) implantation was superior to contact lens for the correction of aphakia after cataract surgery. The study found that there was no statistically significant difference in grating visual acuity at 1 year of age between the IOL and contact lens groups; however, additional intraocular operations were performed more frequently in the IOL group. The authors recommended leaving the eye aphakic and correcting the aphakia with a contact lens. IOL implantation should be reserved for infants who are unable to tolerate contact lenses.

scholarly journals Retropupillary Iris Claw Lens Implantation – A Prospective Observational Study at a Tertiary Health Care Centre in Jaipur, Rajasthan

2021 ◽  
Vol 8 (22) ◽  
pp. 1752-1757
Author(s):  
Rajesh Goel ◽  
Sukriti Upadhyay ◽  
Akshi Agarwal ◽  
Dharmesh Sharma ◽  
Sunita Goyal ◽  
...  
Keyword(s):  
Contact Lenses ◽  
Visual Rehabilitation ◽  
Health Care Centre ◽  
Iol Implantation ◽  
Good Visual Acuity ◽  
Secondary Implantation ◽  
Lens Implantation ◽  
Capsular Support ◽  
Iris Claw Lens ◽  
Iris Claw

BACKGROUND Visual rehabilitation of aphakic patients include spectacle correction, contact lenses, and primary or secondary intra ocular lens (IOL) implantation. Spectacles are rarely used nowadays because of limited visual field, aniseikonia and peripheral refractive errors. Contact lenses are other options for correcting aphakia but can cause a lot of corneal complications. Options for correction of aphakic patients with lack of adequate capsular support include anterior chamber IOL (ACIOL), scleral fixated IOL (SFIOL), and iris fixated IOL. Implantation of a retropupillary IC-IOL provides the benefits of a PCIOL, and the duration of the surgery is also less. The retropupillary IC-IOL because of its position lowers the risk of endothelial decompensation is a better option. We wanted to evaluate the functional outcomes of retropupillary iris claw lens implantation. METHODS Secondary implantation of IC-IOL was done in 50 surgical aphakic eyes as a result of intraoperative posterior capsular rent with zonular dialysis (N = 43, 86 %) & large (> 7 clock hours) zonular dehiscence (N = 7, 14 %). Follow up was done on 1 st day, 7th day, 1 month, 3 months and 6 months. RESULTS 22 males and 28 females in the age group 40 - 78 years were operated. 78 % eyes (N = 39) had vision better than 6 / 12 while only 10 % eyes (N = 5) had < 6 / 60 vision and the remainder 12 % (N = 6) had vision between 6 / 18 & 6 / 36. Complications like acute postoperative iritis (N = 18, 36 %) pupillary distortion (N = 15, 30 %), pigment clumping (N = 10, 24 %), iris chaffing (N = 9, 21 %), secondary glaucoma (N = 5, 12 %) and IOL decentration (N = 3, 7 %) were seen. The mean difference in central endothelial counts before surgery and 6 months after surgery was 109 cell / mm2 (5.92 %). CONCLUSIONS Iris claw lens gives the dual benefit of good visual acuity and less complication rate in aphakic patients with lack of adequate capsular support. KEYWORDS Retropupillary Iris Claw Lens, Surgical Aphakia, Secondary implantation, Zonular Dialysis, Aneisokonia

Ophthalmic surgery

2021 ◽  
pp. 799-816
Author(s):  
Peter B Williamson
Keyword(s):  
Surgical Procedures ◽  
Cataract Extraction ◽  
Anaesthetic Management ◽  
Strabismus Surgery ◽  
Ocular Lens ◽  
Eye Injuries ◽  
Ophthalmic Surgery ◽  
Iol Implantation ◽  
Retinal Surgery ◽  
Anatomy And Physiology

This chapter discusses the anaesthetic management of ophthalmic surgery. It begins with a description of general principles, including anatomy and physiology of the globe and orbit, preoperative considerations of ophthalmology patients, and a discussion of different ocular block techniques. Surgical procedures covered include cataract extraction and intra-ocular lens (IOL) implantation; strabismus surgery; vitreo-retinal surgery; dacrocystorhinostomy (DCR), and repair of penetrating eye injuries.

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