Seven-year follow-up of unilateral multifocal pseudophakia in a child.

Lapid-Gortzak R^1,2, van der Meulen IJ^3,4, Jellema HM³, Mourits MP³, Nieuwendaal CP³.

Abstract

The purpose of the study was to report the long-term outcome of unilateral implantation of a multifocal intraocular lens (IOL) in a pediatric cataract. This study was carried out at Tertiary Academic Ophthalmology Department, AMC, Amsterdam. This is a case report study of a 7-year-old child with a unilateral irradiation cataract, in whom an apodized diffractive multifocal IOL (SN6D3, Alcon) was implanted at the time of cataract surgery. During the follow-up period, visual acuity was preserved at logMAR -0.1; the child did not develop amblyopia. Binocular single vision was established. Few glistenings were seen on the IOL. The non-operated eye developed more myopia during the follow-up period than the multifocally implanted eye. Straylight was increased to log(s) 1.83. Patient and parents satisfaction were high. In selected cases, unilateral implantation of apodized diffractive multifocal IOLs leads to good long-term results in terms of visual acuity and patient satisfaction. No untoward effects were seen, including few glistenings on the IOL. Straylight is increased, but subjectively not disturbing.

PMID: 27090802

Author information:

1. Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands. This email address is being protected from spambots. You need JavaScript enabled to view it..
2. Retina Total Eye Care, Driebergen, The Netherlands. This email address is being protected from spambots. You need JavaScript enabled to view it..
3. Department of Ophthalmology, Academic Medical Center, D2-430, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands.
4. Retina Total Eye Care, Driebergen, The Netherlands.