Clinical analysis of children secondary posterior chamber intraocular lens implantation

Objective To evaluate the effects of secondary posterior chamber lens implantation for aphakia in children.Methods Forty consecutive pediatric aphakic eyes were retrospected.All eyes were secondarily implanted with posterior chamber lens using different operative techniques according to the condition of lens capsule remnante after dissecting the adhesions between the lens capsule and the iris and forming extent space in posterior chamber.Results Follow up ranged from 1 to 20 months,averaging 13.85 months postoperative naked visual acuity was equal or better than corrected visual acuity preoperatively in 23 eyes(57.5%).Postoperative corrected visual acuity was better than that before surgery in 33 eyes(82.5%),and was equal to that before surgery in 7 eyes(17.5%).Conclusions Secondary posterior chamber IOLs implantation was a effective surgery for aphakic eyes in children,but attention should be paid to anti inflammatory treatment and amblyopia treatment.