Eye growth after cataract extraction and intraocular lens implantation in children.

Ophthalmic Surg

Department of Ophthalmology, School of Medicine, Showa University, Tokyo, Japan.

Published: July 1993

AI Article Synopsis

  • The study focused on the impact of cataract surgery and IOL implantation on eye development in 16 children, examining various visual metrics before and after the procedure.
  • Many operated eyes showed a tendency toward myopia, with some cases reaching up to -11.00 diopters, though the increase in axial length was similar for both operated and unoperated eyes.
  • It was suggested that the myopic trend in operated eyes may be due to the increased proportion of the vitreous body behind the intraocular lens as the axial length of the eye grows.

Article Abstract

We studied the effect of cataract extraction and intraocular lens (IOL) implantation (14 unilateral and 2 bilateral cases) on eye growth in 16 children. Visual acuity, refractive power, axial length, corneal curvature, and anterior chamber depth in both the operated and unoperated eyes were measured before and after surgery. The operated eyes tended to become myopic (maximum, -11.00 diopters). However, though the axial length of two eyes increased significantly after surgery, there was no significant difference between the postoperative increase in axial length in the operated and in the unoperated eyes. The anterior chambers of the unoperated eyes tended to be deeper. We suggest that the tendency to become myopic in the operated eyes occurred because, as axial length increases with growth, the proportion occupied by the vitreous body, ie, the part posterior to the IOL, also increases.

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