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Outcome of primary intraocular lens implantation in infants: Complications and rates of additional surgery.

PURPOSE: To study the requirement of additional surgery and adverse events in infants having primary intraocular lens (IOL) implantation.

SETTING: Tertiary care institute, Chandigarh, India.

DESIGN: Prospective observational noncomparative case series.

METHODS: Infants who had phacoaspiration, primary posterior capsulotomy, anterior vitrectomy, and primary IOL implantation were evaluated for complications and the need for additional surgery over a 3-year period. The main outcome measures were the rate of complications, adverse events, and need for additional surgery.

RESULTS: Sixty infants (100 eyes) with a mean age of 7.13 months ± 2.32 (SD) (range 3 to 12 months) were studied. The mean follow-up was 41.2 ± 3.5 months. Indication of additional surgery included visual axis opacification in 13 eyes, pupillary membrane/IOL decentration in 4 eyes, and iris prolapse in 4 eyes. Adverse events included pigment on the IOL in 14 eyes and iridolenticular adhesions in 9 eyes. Ocular hypertension was observed in 2 eyes. The IOL was placed in sulcus or by optic capture in 14 eyes. There was no difference in additional surgery and adverse events between infants aged 6 months or younger versus those older than 6 months (P = .734).

CONCLUSION: There was a low incidence of adverse events and additional surgery requirement in infants who had cataract surgery with primary IOL implantation.

FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned.

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