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مقاله
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Abstract
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Title:
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Refractive change in pediatric pseudophakia over a 10- year follow-up
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Author(s):
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Azadeh Doozandeh, Mohammad Ali Javadi, Bahareh Behdad, Mohammad Reza Jafarinasab, Sepehr Feizi
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Presentation Type:
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Poster
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Subject:
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Cornea and Anterior Segment
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Others:
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Presenting Author:
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Name:
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Azadeh Dozande Tabarestani
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Affiliation :(optional)
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Assistant professor of Ophthalmology
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E mail:
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azade_80d@yahoo.com
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Phone:
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Mobile:
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09123904966
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Purpose:
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To report the refractive change after intraocular lens (IOL) implantation in children with congenital cataract.
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Methods:
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In this historical cohort study, the clinical records of children aged 2 to 15 years who had primary IOL implantation during lensectom, posterior capsulotomy and anterior vitrectomy with more than 5 years of follow-up were studied. Refraction was done at 1 month and 3 months postoperatively and every 6 months onward. Patients were stratified into groups according to the age at surgery. Groups were compared in terms of refractive change. Additionally influence of age at surgery, IOL power and BCVA on myopic shift were assessed.
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Results:
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41 pseudophakic eyes from 22 children were studied. Patients demonstrated a mean myopic change of -4.93 diopters (2-4 y/o), -2.99 diopters (4-7 y/o) and -0.44 diopters (7-15 y/o) . The rate of refractive change was -0.53, -0.39 and -0.12 diopter/year in three groups respectively. Myopic shift was significantly higher in younger children. There was no relationship between myopic shift and IOL power or BCVA.
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Conclusion:
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The postoperative myopic shift is greatest and it's rate of change is fastest in the young children who has IOL implantation before four years old.
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Attachment:
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7039.jpg
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