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Pediatric Cataract

Editor(s): Nucci P. (Milan) 
Cover

Changes in Ocular Growth after Pediatric Cataract Surgery

Lambert S.R.

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Department of Ophthalmology, School of Medicine, Emory University, Atlanta, Ga., USA

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Nucci P (ed): Pediatric Cataract. Dev Ophthalmol. Basel, Karger, 2016, vol 57, pp 29-39

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Article / Publication Details

First-Page Preview
Abstract of  

Published online: April 01, 2016
Cover Date: 2016

Number of Print Pages: 11
Number of Figures: 4
Number of Tables: 0

ISBN: 978-3-318-05819-2 (Print)
eISBN: 978-3-318-05820-8 (Online)

Abstract

The human eye undergoes extensive changes during early childhood, including axial elongation, corneal flattening and reduced lens power. Animal studies have shown that removing the crystalline lens during infancy retards axial elongation. Axial elongation has been studied in children after cataract extraction both directly and indirectly. Children with a unilateral congenital cataract generally have a shorter axial length in their cataractous eye than in their fellow eye. This difference usually persists after cataract surgery. While some studies have reported a modest reduction in axial elongation after cataract extraction, the magnitude of this effect is much less than what has been reported in animal models. Choosing an intraocular lens (IOL) power for implantation into a child's eye is complicated by continued ocular growth, the inaccuracy of IOL power calculation formulas for small eyes, and the difficulty of accurately measuring the biometrics of a child's eye. In addition, given the fixed position of an IOL in the eye, increasing elongation of the posterior segment of the eye relative to the anterior segment magnifies the myopic shift that occurs with ocular growth. The targeted refractive error in young children undergoing IOL implantation should be an undercorrection in anticipation of a future myopic shift.

© 2016 S. Karger AG, Basel


References

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    External Resources
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    External Resources
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Article / Publication Details

First-Page Preview
Abstract of  

Published online: April 01, 2016
Cover Date: 2016

Number of Print Pages: 11
Number of Figures: 4
Number of Tables: 0

ISBN: 978-3-318-05819-2 (Print)
eISBN: 978-3-318-05820-8 (Online)


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