Abstract
The combination of a permanent intraocular lens (IOL) sequestrated in the capsular bag and a temporary IOL placed in the ciliary sulcus—a location from which it can be easily removed later—is referred to as temporary polypseudophakia. It allows the surgeon to aim for emmetropia immediately after surgery in young children and avoid leaving hyperopia, which can be amblyogenic when uncorrected. This option is chosen when compliance with glasses or contacts is expected to be poor at the time of surgery. We consider this approach in older infants, toddlers, or preschoolers. It must be noted that not all pediatric eyes are suitable for piggyback lens placement; piggyback IOL implantation should be confined to eyes in which the benefit of this implantation exceeds the potential risks. It appears to be a useful option for IOL implantation in growing eyes of select young children.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wilson ME, Peterseim MW, Englert JA, Lall-Trail JK, Elliott LA. Pseudophakia and polypseudophakia in the first year of life. J AAPOS. 2001;5(4):238–45.
Gayton JL, Sanders VN. Implanting two posterior chamber intraocular lenses in a case of microphthalmos. J Cataract Refract Surg. 1993;19(6):776–7.
Serafino M, Trivedi RH, Levin AV, et al. Use of the Delphi process in paediatric cataract management. Br J Ophthalmol. 2016;100(5):611–5.
https://www.doctor-hill.com/iol-main/polypseudophakia_calculations.htm. Accessed on 31 July 2019.
Boisvert C, Beverly DT, McClatchey SK. Theoretical strategy for choosing piggyback intraocular lens powers in young children. J AAPOS. 2009;13(6):555–7.
Gayton JL, Apple DJ, Peng Q, Visessook N, Sanders V, Werner L, et al. Interlenticular opacification: clinicopathological correlation of a complication of posterior chamber piggyback intraocular lenses. J Cataract Refract Surg. 2000;26(3):330–6.
Hwang S, Lim DH, Lee S, et al. Temporary Piggyback intraocular lens implantation versus single intraocular lens implantation in congenital cataracts: long-term clinical outcomes. Invest Ophthalmol Vis Sci. 2018;59(5):1822–7.
Infant Aphakia Treatment Study Group, Lambert SR, Lynn MJ, et al. Comparison of contact lens and intraocular lens correction of monocular aphakia during infancy: a randomized clinical trial of HOTV optotype acuity at age 4.5 years and clinical findings at age 5 years. JAMA Ophthalmol. 2014;132(6):676–82.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Additional information
Authors do not have any financial interest.
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Wilson, M.E., Trivedi, R.H. (2020). Temporary Polypseudophakia (Piggyback IOLs). In: Kraus, C. (eds) Pediatric Cataract Surgery and IOL Implantation. Springer, Cham. https://doi.org/10.1007/978-3-030-38938-3_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-38938-3_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-38937-6
Online ISBN: 978-3-030-38938-3
eBook Packages: MedicineMedicine (R0)