(22.) Chen Y, Liu Q, Xue C, Huang Z, Chen Y Three year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia
. J Cataract Refract Surg.
Christiansen et al., "Strabismus surgery outcomes in the Infant Aphakia
Treatment Study (IATS) at age 5 years," Journal of American Association for Pediatric Ophthalmology and Strabismus, vol.
of eyes Percentage (%) Traumatic Subluxation 9 16.98% Post-surgical aphakia
11 20.75% Dropped nucleus 2 3.77% ACIOL 2 3.77% Congenital subluxation 5 9.43% Senile subluxated cataract 3 5.66% Subluxated IOL 12 22.64% Marfan's 6 11.32% Juvenile cataract with subluxation 3 5.66% TOTAL 53 100% Table 3: Comparing preoperative and post-operative best corrected visual acuity (BCVA) BCVA No.
Self, "Is an iris claw IOL a good option for correcting surgically induced aphakia
According to the Infant Aphakia
Treatment Study, the number of reported hours of patching throughout the first four years of life is associated with a better visual acuity in cases of unilateral congenital cataracts .
Rejdak et al., "Simultaneous correction of post-traumatic aphakia
and aniridia with the use of artificial iris and IOL implantation," Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, vol.
Cataract, corneal opacity and aphakia
were also looked among the elderly.
Congenital cataracrextracrion with primary aphakia
and sekondary intraocular lens implantation in the ciliary sulcus.
Chen, "Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia
," Journal of Cataract & Refractive Surgery, vol.
Table 6: Post OP complications- Type of Surgery Complications PE+IOL SICS+IOL ECCE+IOL APHAKIA
n=51 n=5 n-=3 (SICS+AV)n=1 Sec Glaucoma 2(4%) -- -- -- Hyphema 2(4%) -- -- -- PS 1(2%) 2(40%) -- -- PCO 15(30%) 3(60%) 1(33%) -- Recurrence 6(12%) 2(40%) -- 1(100%) of Uveitis CME 1(2%) -- -- -- Hypotony 2(4%) -- 1(33%) 1(100%) DISCUSSION: Over the last 2-3 decades, it has been proven that cataract surgery has been of immense benefit in visual rehabilitation of patients with uveitis and cataract.
A potential problem could be that the image size in one eye is so different in size to the other eye (aniseikonia) that binocular fusion is not possible, eg in unilateral aphakia
. The best solution for this would be to fit the patient with contact lenses, since the effect of vertex distance is removed, and consequently, spectacle magnification is reduced.
A Comparison of grating visual acuity, strabismus, and reoperation outcomes among children with aphakia
and pseudophakia after unilateral cataract surgery during the first six months of life.