Learn More
PURPOSE To assess the clinical biocompatibility of AcrySof (Alcon, Ft Worth, Tex) acrylic intraocular lenses (IOLs) in the highly reactive eyes of infants and children. METHODS A database of 230 pediatric IOL implantations was queried to allow retrospective review of all eyes implanted with an AcrySof IOL. Eyes implanted with polymethyl methacrylate(More)
BACKGROUND It generally is accepted that cataract surgery during the first 6 weeks of life is associated with the best visual outcomes for children with dense unilateral congenital cataracts. The latent period for children with dense bilateral congenital cataracts has not been clearly defined. METHODS The best-corrected visual acuity (BCVA) at 4 to 6(More)
BACKGROUND Acanthamoeba keratitis has commonly been identified with in vivo confocal microscopy and confirmed with histologic examination of an epithelial biopsy specimen. OBJECTIVE To determine if Acanthamoeba keratitis can be verified using polymerase chain reaction (PCR) of epithelial biopsy specimens. METHODS Epithelial specimens from patients with(More)
PURPOSE To describe and analyze pediatric anterior capsulotomy techniques and make recommendations. METHODS Five anterior capsulotomy techniques were compared using a porcine model. Extensibility was measured by calculating the mean stretch-to-rupture circumference of each capsulotomy (20 eyes per technique) as a percentage of its circumference at rest.(More)
OBJECTIVE To compare the rate of refractive growth in pseudophakic children's eyes to that of aphakic eyes. DESIGN Multicenter, retrospective observational case series. PARTICIPANTS 83 patients with pseudophakic eyes (100 eyes) and 74 patients with aphakic eyes (106 eyes), with an age of surgery between 3 months and 10 years and a minimum follow-up time(More)
OBJECTIVE To compare the use of contact lenses and intraocular lenses (IOLs) for the optical correction of unilateral aphakia during infancy. METHODS In a randomized, multicenter (12 sites) clinical trial, 114 infants with unilateral congenital cataracts were assigned to undergo cataract surgery with or without IOL implantation. Children randomized to IOL(More)
PURPOSE Intraocular lenses (IOLs) are being implanted in children with greater frequency and in a wider age range. The accuracy of available regression and theoretical formulas in predicting correct IOL power for pediatric eyes, however, has not been reported. METHODS We reviewed medical records of 47 consecutive pediatric IOL implantations after cataract(More)
PURPOSE The method of correcting aphakia after unilateral cataract extraction during infancy is controversial. Some authorities advocate correction with an intraocular lens (IOL) whereas others advocate correction with a contact lens (CL). We compared grating visual acuity, alignment, and reoperative outcomes in age-matched children treated with these 2(More)