Cataract surgery in children with capsulorhexis of anterior and posterior capsules and heparin-surface-modified intraocular lenses

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Abstract
Ate (Healon GV®, 14 mg/ml) between the posterior capsule and the vitreous, and capsulorhexis of the posterior capsule. At the end of the procedure, a heparin-surface-modified (HSM) poly(methyl methacrylate) intraocular lens (IOL) was implanted in the capsular bag. Follow-up ranged from four to 16 months. No complications such as the appearance of vitreous in the anterior chamber occurred during surgery. A mild postoperative inflammation was seen in all cases. Opacification of the visual axis was seen in one eye ten months after surgery. Posterior synechial formation was seen in one eye. Our results suggest that capsulorhexis of the anterior and posterior capsules with implantation of an HSM IOL in the capsular bag is a safe procedure in children and produces good postoperative results. aReprint requests to Charlotta Zetterström, M.D., Department of Ophthalmology, S:t Erik Eye Hospital, Fleminggatan 22, S-112 82 Stockholm, Sweden. Supported by grants from the Swedish Medical Research Council (4204). Presented in part at the Symposium on Cataract, IOL and Refractive Surgery, Boston, April 1994. © Williams & Wilkins 1994. All Rights Reserved....