Seven-year follow-up of unilateral multifocal pseudophakia in a child

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• 作者：Ruth Lapid-Gortzak ; I. J. van der Meulen ; H. M. Jellema…
• 关键词：Pediatric cataract ; Radiation cataract ; Multifocal IOL ; Diffractive multifocal IOL
• 刊名：International Ophthalmology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：37
• 期：1
• 页码：267-270
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Ophthalmology;
• 出版者：Springer Netherlands
• ISSN：1573-2630
• 卷排序：37

文摘

The purpose of the study was to report the long-term outcome of unilateral implantation of a multifocal intraocular lens (IOL) in a pediatric cataract. This study was carried out at Tertiary Academic Ophthalmology Department, AMC, Amsterdam. This is a case report study of a 7-year-old child with a unilateral irradiation cataract, in whom an apodized diffractive multifocal IOL (SN6D3, Alcon) was implanted at the time of cataract surgery. During the follow-up period, visual acuity was preserved at logMAR −0.1; the child did not develop amblyopia. Binocular single vision was established. Few glistenings were seen on the IOL. The non-operated eye developed more myopia during the follow-up period than the multifocally implanted eye. Straylight was increased to log(s) 1.83. Patient and parents satisfaction were high. In selected cases, unilateral implantation of apodized diffractive multifocal IOLs leads to good long-term results in terms of visual acuity and patient satisfaction. No untoward effects were seen, including few glistenings on the IOL. Straylight is increased, but subjectively not disturbing.