Toric Intraocular Lens Implantation in Congenital Cataract

What is it about?

This study explores whether using toric intraocular lenses (IOLs) during cataract surgery can improve visual outcomes in children with congenital cataracts and preexisting corneal astigmatism. A total of 37 children aged six years and older were included, with some receiving toric IOLs and others receiving standard monofocal IOLs. The study compared their vision and refractive outcomes over six months. Results showed that toric IOLs significantly reduced postoperative refractive astigmatism and improved distance and near visual acuity compared to monofocal lenses. The findings suggest that toric IOLs may be a beneficial option for pediatric patients with cataract and moderate-to-high astigmatism.

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Photo by Karl Fredrickson on Unsplash

Photo by Karl Fredrickson on Unsplash

Why is it important?

This research addresses a gap in pediatric ophthalmology: whether correcting astigmatism with toric IOLs during cataract surgery in children yields measurable benefits. Previous studies in adults have shown favorable outcomes, but data in pediatric populations remain limited. By demonstrating statistically significant improvements in visual acuity and a substantial reduction in residual astigmatism, this study highlights toric IOLs as a valuable option in children with congenital cataract and regular astigmatism. Early correction of refractive errors is critical in pediatric patients to prevent amblyopia and support normal visual development.

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