Surgical and visual results of pediatric epikeratophakia.

K. S. Morgan, Penny Asbell, J. G. May, M. B. McDonald, D. N. Loupe, H. E. Kaufman

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We performed epikeratophakia for the correction of aphakia in 31 children, ages 2 months to 7 years, who had unilateral congenital or traumatic cataracts. In 27 patients with more than 4 months of follow-up, 23 of 30 (77%) grafts were successful. In the 15 patients with 6 months or more followup, the average increase in corneal curvature was 12.39 diopters. The average overrefraction needed to achieve emmetropia was + 2.14 diopters spherical equivalent. Two patients operated on within the first year of life have achieved 6/15 (20/50) visual acuities, as measured by visual evoked potentials. One patient operated on in the second year of life achieved 5/30 visual acuity, as measured by Allen cards. Two patients operated on for traumatic cataracts at ages 2 and 4 years achieved 6/9 (20/30) and 8/30 (Allen cards) visual acuities, respectively. Five older patients who had congenital cataracts or persistent hyperplastic vitreous showed some improvement in visual function. Advantages of epikeratophakia include the placement of most of the correction directly on the eye in a permanent attachment and the elimination of contact lens manipulation in uncooperative patients, so that more time and energy can be devoted to the occlusion therapy.

Original languageEnglish (US)
Pages (from-to)45-51
Number of pages7
JournalMetabolic, pediatric, and systemic ophthalmology
Volume7
Issue number1
StatePublished - Jan 1 1983
Externally publishedYes

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Epikeratophakia
Pediatrics
Cataract
Visual Acuity
Emmetropia
Aphakia
Visual Evoked Potentials
Contact Lenses
Transplants

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Morgan, K. S., Asbell, P., May, J. G., McDonald, M. B., Loupe, D. N., & Kaufman, H. E. (1983). Surgical and visual results of pediatric epikeratophakia. Metabolic, pediatric, and systemic ophthalmology, 7(1), 45-51.

Surgical and visual results of pediatric epikeratophakia. / Morgan, K. S.; Asbell, Penny; May, J. G.; McDonald, M. B.; Loupe, D. N.; Kaufman, H. E.

In: Metabolic, pediatric, and systemic ophthalmology, Vol. 7, No. 1, 01.01.1983, p. 45-51.

Research output: Contribution to journalArticle

Morgan, KS, Asbell, P, May, JG, McDonald, MB, Loupe, DN & Kaufman, HE 1983, 'Surgical and visual results of pediatric epikeratophakia.', Metabolic, pediatric, and systemic ophthalmology, vol. 7, no. 1, pp. 45-51.
Morgan KS, Asbell P, May JG, McDonald MB, Loupe DN, Kaufman HE. Surgical and visual results of pediatric epikeratophakia. Metabolic, pediatric, and systemic ophthalmology. 1983 Jan 1;7(1):45-51.
Morgan, K. S. ; Asbell, Penny ; May, J. G. ; McDonald, M. B. ; Loupe, D. N. ; Kaufman, H. E. / Surgical and visual results of pediatric epikeratophakia. In: Metabolic, pediatric, and systemic ophthalmology. 1983 ; Vol. 7, No. 1. pp. 45-51.
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