PURPOSE The purpose of this study was to evaluate the visual outcomes and complications of unilateral scleral fixation of posterior chamber intraocular lenses (SF-PCIOLs) in pediatric complicated traumatic cataracts without capsular support. METHODS This study involved five eyes of five children who underwent unilateral SF-PCIOL. All patients had a unilateral complicated traumatic cataract as...

Miles Center for Pediatric Ophthalmology, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, Charleston, SC. Supported in part by NIH grant EY-14793, an unrestricted grant to MUSC-SEI from Research to Prevent Blindness, Inc., New York, NY. and Grady Lyman Fund The authors have no financial or proprietary interest in any product mentioned herein. Glaucoma in ...

OBJECTIVE To determine the ophthalmic indications and challenges for pediatric ocular examination under anesthesia (EUA). METHODS The surgical register and patients' records of children who underwent EUA between 1990 and 2007 were examined to document patients' bio data, diagnoses and details of procedures and anesthesia. RESULTS Thirty-nine children underwent EUA during the 18-year period....

PURPOSE To evaluate the efficacy of the use of intraocular lenses in the treatment of pediatric aphakia, according to postoperative visual acuity and refraction change. METHODS A total of 33 eyes in 27 children were studied. Children with either unilateral or bilateral cataracts were submitted to lensectomy surgery via pars plana, with intraocular lens implant, associated with primary posteri...

PURPOSE To evaluate the magnitude of refractive astigmatism after congenital cataract surgery and to define its correlation with patient age. METHODS The authors retrospectively reviewed the charts of all pediatric patients who underwent congenital cataract extraction with intraocular lens (IOL) implantation through a 3.0-mm clear corneal incision from 1998 to 2003, and had no suture removal ...

OBJECTIVE To evaluate the visual outcome and postoperative complications of cataract surgery with posterior chamber intraocular lens implantation in children with uveitis. DESIGN A multicenter, retrospective, interventional case series. The setting included 3 medical centers in Israel. The interventions were cataract surgery and intraocular lens implantation. Aggressive preoperative and posto...

Dear Editor: I read the article “Epilens membrane simulating cataract in children with uveitis: a report of three cases” by Paiva et al. with great interest. Three cases were presented that were diagnosed as cataract secondary to uveitis but that were understood to have received treatment for pupillary membrane intraoperatively. I congratulate the authors for their attention and good management...

PURPOSE To describe and analyze pediatric anterior capsulotomy techniques and make recommendations. METHODS Five anterior capsulotomy techniques were compared using a porcine model. Extensibility was measured by calculating the mean stretch-to-rupture circumference of each capsulotomy (20 eyes per technique) as a percentage of its circumference at rest. Edge characteristics were reviewed usin...