Secondary intraocular lens implantation may worsen IOP control in kids: Study
Recently, researchers have noted that secondary IOL implantation carries a modest risk of worsening IOP control in the first year after implantation, for which, a history of ocular trauma or young age at initial cataract surgery seems to present the highest risk, according to a study published in the Eye Journal.
In recent years primary IOL implantation is fast becoming the preferred modality of treatment for most children older than two years of age. It has been extensively used with favorable results in children older than two years. In contrast, IOL implantation as a modality of aphakic correction in an infantile eye is debatable. Prime among the problems of primary IOL implantation in infants includes difficulty in selecting the appropriate diopteric power of the IOL. In addition, the small dimension of the infant's eye with a small capsular bag, decreased scleral rigidity, and increased tissue reactivity leading to excessive postoperative inflammation, make IOL implantation technically more difficult in these patients.