Comparison of Outcome of Implantation of Hydrophobic Acrylic Versus Hydrophilic Acrylic IOLs in Pediatric Cataract: Prospective Randomized Study

MS (Ophthalmology, PGIMER, CHANDIGARH), Ant. Seg. Fellowship (USA)

MBBS (AIIMS, New Delhi), MD (Ophthalmology, AIIMS, New Delhi), FRCS (UK)

Dr. Suresh K Pandey Dr. Vidushi Sharma

SuVi Eye Institute & Lasik Laser Centre KOTA, RAJASTHAN, INDIA Phone +91 9351412449 Email- suvieye@gmail.com; Website: www.suvieye.com

NO FINANCIAL INTEREST

REVIEW OF LITERATURE
Wilson ME, et al. AcrySof acrylic intraocular lens implantation in children: clinical indications of biocompatibility. J AAPOS 2001 Rowe NA, et al. Primary IOL implantation in children: a risk analysis of foldable acrylic v PMMA lenses. Br J Ophthalmol 2004 Murali AK, et al. Comparison of acrylic and PMMA lenses in a pediatric population. Indian J Ophthalmol 2006 Vasavada AR, et al. Visual axis opacification after Arcysof intraocular lens implantation in children. J Cataract Refract Surg 2004 Ram J, et al. Comparison of the outcome of implantation of hydrophobic acrylic versus silicone intraocular lenses in pediatric cataract: prospective randomized study. Can J Ophthalmolol 2010

Dr. S. K. Pandey

To compare the intra-operative & postoperative performance of hydrophobic acrylic and hydrophilic acrylic IOLs in PCS in terms of complications and visual outcomes

AIMS & OBJECTIVE

Dr. S. K. Pandey

PATIENTS & METHODS

Twenty Children (40 eyes), Bilateral Cataract

Group A (n = 20) eyes) hydrophobic acrylic (AMO Tecnis IOL) Group B (n = 20 eyes) hydrophilic acrylic IOLs (IntraOcular Care IOC).

All children underwent phacoaspiration, primary posterior capsulotomy, and anterior vitrectomy & IOL implantation in capsular bag

Dr. S. K. Pandey

EXCLUSION CRITERIA

Monocular cataract patients Cataracts associated with ocular abnormalities (microphthalmos, microcornea, glaucoma, uveitis, posterior lenticonus, and colobomas) or systemic diseases Traumatic or complicated cataracts

Dr. S. K. Pandey

SURGICAL TECHNIQUE

Preservative free triamcinolone was used to stain the vitreous Intracameral moxifloxacin (0.1 CC) used in all cases at the end of surgery
Dr. S. K. Pandey

POST OP FOLLOW UP
EUA/SLIT LAMP EXAMINATION

Patients were followed for a minimum period of 12 months. In all postoperative examinations anterior chamber inflammation, pupil shape, synechiae formation, IOL position, pigment/Cell deposition on the IOL, visual axis opacification (VAO), IOP and refractive errors were recorded.

RESULTS

Mean age- 2.21.8 years in the hydrophobic acrylic group and 2.71.3 in hydrophilic acrylic group Mean follow-up period was 18.65 (12-28) months. No intraoperative complication in any group. Postoperatively, all IOLs were in the capsular bag None of the eyes showed glaucoma Mean postoperative spherical refractive error was +3.251.50 (D) in the hydrophobic acrylic group and +3.501.25 D hydrophilic acrylic in the group

Dr. S. K. Pandey

POST OP BCVA

Dr. S. K. Pandey

VAO: LECs ON POST CAPSULE

Hollick EJ, Spalton DJ, Ursell PG. Surface cytologic features on intraocular lenses: can increased biocompatibility have disadvantages? Arch Ophthalmol 1999;117:872-878.
Dr. S. K. Pandey

CONCLUSION

In pediatric eyes undergoing lens aspiration with primary posterior capsulotomy and ant. vitrect. both foldable hydrophilic & hydrophobic IOLs design performed well in terms achieving secure in the bag fixation using a small incision Foldable hydrophobic acrylic IOL were found to be suitable for minimizing LECs proliferation & maintaining a clear visual axis

Thank Thank You You

Dr. S. K. Pandey ASCRS 2012

Email: suvieye@gmail.com

Comparison of Outcome of Implantation of Hydrophobic Acrylic Versus Hydrophilic IOLs in Pediatric Cataract: Prospective Randomized Study
MS (Ophthalmology, PGIMER, CHANDIGARH), Ant. Seg. Fellowship (USA)
MBBS (AIIMS, New Delhi), MD (Ophthalmology, AIIMS, New Delhi), FRCS (UK)

Dr. Suresh K Pandey Dr. Vidushi Sharma

SuVi Eye Institute & Research Centre C-13, TALWANDI, KOTA, RAJASTHAN, INDIA Email- suvieye@gmail.com; Website: www.suvieye.com Phone +91 9351412449, 0744 2433575

NO FINANCIAL INTEREST