ABSTRACT NUMBER - S2505

TO OBSERVE AND EVALUATE THE MYOPIC SHIFT AFTER PRIMARY IOL IMPLANTATION IN CHILDREN


Salahuddin Rahmatullah

Meeting:  2017 RANZCO


Purpose: To Observe and evaluate The Myopic Shift After Primary IOL Implantation in Children at Clinical and Experimental Ophthalmology 2017; 45 (Suppl 1): 35?54 Khulna Eye Hospital & Laser Center, Khulna, Bangladesh.
Methods: It?s a prospective study done during,2011 to 2014. Patients were randomly selected & bilateral cataract without any ocular & systemic abnormali- ties, with 10% to 20% under correction of IOL power from the actual were included. Same surgeon did the all operations & Follow-up was given at 01st POD, 10th, 01month, 03 month & every six month interval up to end. Refraction done under mydriatics & Nd.Yag capsulectomy done for better fundal glow. Every six month interval, refraction was done & was noted. Patient were grouped into three. Group A, (01Yrs to below 05Yrs.) B, (05Yrs to below 10Yrs) C, (10Yrs to below 16Yrs)
Results: Total 66 patient of 132 eyes were evalu- ated & refracted. Male was 61% and female 36%. Our observation noted that maximum myopic shift of spherical equivalent power at the end of study happened in group A and it was average -2.01 D for Rt. eye and -1.87 D Lt. eye. In group B it was only
-0.97 D in Rt. eye and -0.96 D in the Lt. eye. In group C it was very minimum at the end of the study and it was -0.44 D in Rt. eye and -0.58 D in Lt. eye. Total (5) ftve patient were drooped out.
Conclusion: The Child?s eye continues to elongate until the age of teens. The selection of an appropriate IOL power is complicated. Therefore, lens implanta- tion requires a compromise that account for the age of the child and target refraction at the age of the surgery.

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