Results of cataract extraction with IOL implantation in children aged 17 months to 8 years old

Introduction
To evaluate anatomical and functional results of cataract extraction and IOL implantation, together with posterior capsulectomy and anterior vitrectomy n children.

Material and methods
Cataract extraction and IOL implantation with posterior capsulectomy and anterior vitrectomy was performed in 32 eyes of children between 17 months and 8 years old. Patients were followed up for a mean period 36 months (from 6 months to 5,5 years).

Results
Good anatomical results were achieved in all, except 2 cases. One eye required removal of opacifications located posterior to the IOL. In the second eye membrane from the anterior surface of the lens were excised. Final postoperative visual acuity in eyes with bilateral cataract was 0,59, whereas in unilateral cataract 0,25. Half of the children with bilateral cataract has significantly worse BCVA in one eye.

Conclusions
Cataract extraction and IOL implantation with posterior capsulectomy and anterior vitrectomy in young children gives good anatomical results. Functional results are better in bilateral congenital cataract, comparing to unilateral cases. To achieve good functional results, visual rehabilitation is necessary.