Multifocal Intraocular Lens Implantation Shows Promising Results in Children With Cataracts

Strategic Insights -

Research from the Eye Institute of Shandong First Medical University, in collaboration with the Qingdao Eye Hospital, found that multifocal intraocular lens (IOL) implantation in Berger space demonstrated favorable safety and efficacy in improving visual function for rigorously screened pediatric cataract patients. The study compared the outcomes of multifocal IOL implantation with monofocal IOL implantation in children with cataracts.

Key Takeaways:

  • A total of 571 eyes of 402 children were included in the study, with 219 children (311 eyes) receiving multifocal IOLs and 183 children (260 eyes) receiving monofocal IOLs.
  • Children who underwent multifocal IOL implantation achieved higher spectacle independence (51.67% vs 37.31%, P = .033) and better visual results in bilateral or unilateral patients compared to those who received monofocal IOL implantation.
  • Multifocal IOL patients also had lower incidence of postoperative complications, including corneal edema, transient intraocular hypertension, and visual axis opacification.
  • The research concluded that multifocal intraocular lens optic implantation in Berger space demonstrated favorable safety and efficacy in improving visual function for rigorously screened pediatric cataract patients.

Statistics:

  • 51.67% of multifocal IOL patients achieved spectacle independence
  • 37.31% of monofocal IOL patients achieved spectacle independence
  • Incidence of corneal edema: multifocal IOL (2.28%) vs monofocal IOL (9.84%)
  • Incidence of transient intraocular hypertension: multifocal IOL (2.28%) vs monofocal IOL (12.02%)
  • Incidence of visual axis opacification: multifocal IOL (0%) vs monofocal IOL (6.56%)
  • Total number of eyes included in the study: 571
  • Total number of children included in the study: 402

Sources:

  • Multifocal Versus Monofocal Intraocular Lens Implantation in Children With Cataracts. American Journal of Ophthalmology, 2025;281:151-161.
  • Xiaomei Wan, et al. Eye Institute of Shandong First Medical University. Qigdao Eye Hospital of Shandong First Medical University.