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IOL implantation technique provides alternative to implantation in capsular bag

J Cataract Refract Surg. 2009;35(6):1040-1045.

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A comparison of two IOL implantation techniques for pediatric cataract surgery showed that a method involving placement of the haptics in the ciliary sulcus can be safe and effective.

"In pediatric cataract surgery, placement of haptics in the ciliary sulcus and IOL optic capture through the [posterior continuous curvilinear capsulorrhexis] was a safe alternative to IOL implantation in the capsular bag," the study authors said.

They conducted a prospective, randomized, contralateral study of 28 eyes of 14 children. Patients, who had a mean age of 5.1 years, had either bilateral congenital cataract or developmental cataract.

The study's mean follow-up was a range of 13 months to 35 months.

Fourteen eyes received a three-piece AcrySof MA60BM (Alcon) lens implanted in the capsular bag, and 14 eyes received the same lens but implanted in the ciliary sulcus, with the optic "captured" via posterior continuous curvilinear capsulorrhexis.

The researchers found no statistically significant difference in best corrected visual acuity or complications, including IOL decentration, between the groups.