Visual Outcomes and Complications of Piggyback Intraocular Lens Implantation Compared to @entity4118 for Infantile XXXX .

@entity1 @entity231 @entity4118 @entity260 @entity2790
PURPOSE: To evaluate the long-term visual outcomes and complications of the piggyback intraocular lens (IOL) implantation compared to @entity4118 for infantile @entity231 . @entity1 AND METHODS: In a comparative study from 1998 to 2007, @entity2790 (piggyback IOL group) was performed for 14 @entity1 (23 eyes) with infantile @entity231 and 20 @entity1 (32 eyes) who were aphakic ( @entity4118 group) after infantile @entity231 surgery. Data were collected on logMAR visual acuity, and @entity260 over a mean follow-up time of 6.2    1.7 years and 5.8    1.7 years. RESULTS: The mean age at surgery was 7.5    0.6 months and 6.0    3.3 months for the piggyback and the aphakic group respectively (P > 0.05). At the last follow-up visit, visual acuity was 0.85    0.73 (median = 0.70, interquartile range = 0.3-1.32) in the piggyback IOL group and 0.89    0.56 (median = 0.86, interquartile range = 0.50-1.24) in the aphakic group (P > 0.05). There was a positive relationship between age and visual outcomes in the aphakic group (r = 0.4, P = 0.04) but not in the piggyback IOL group (P = 0.48). There was no significant difference between the mean myopic shift in the piggyback IOL group (  -5.28    1.06 D) and the aphakic group (  -5.10    1.02 D) (P > 0.05). The incidence of reoperation due to complications in piggyback IOL group was higher than aphakic group (%48 vs. %16, respectively, P  <= 0.01). However, in @entity1 older than 6 months, this risk was not significantly different compared to the aphakic group. CONCLUSIONS: Although @entity2790 for infantile @entity231 is optically acceptable as a treatment option, there is no significant difference in visual outcomes compared to @entity4118 . The incidence in reoperation due to complications in @entity1 aged 6 months or younger is higher than those treated with @entity4118 .
