Bilateral intraocular lens implantation in the pediatric population

Purpose: To evaluate bilateral intraocular lens (IOL) implantation in child ren. Design: Retrospective, noncomparative case series Participants: Thirty pediatric patients with bilateral IOL implants at one institution with move than 6 months of followup. Methods: Retrospective chart review. Main Outcome Measures: Complications, visual acuity, axial length, and refr active changes were recorded. Results: Thirty patients (60 eyes) had an average followup of 31 months (ra nge, 7-69 months). Average age at implantation was 73 months (range, 12 day s-13 years). At last followup, 91 % of eyes had vision better than or equal to 20/40. Patients in the youngest age group (<2 years) demonstrated the m ost rapid refractive and axial length changes, and there were progressively smaller changes in older age groups. Only four patients had acuity differe nces between eyes of move than one line. Conclusions: Bilateral IOLs ave safe and effective in pediatric aphakia. (C ) 2000 by the American Academy of Ophthalmology.