Gieser S C, Apple D J, Loftfield K, Richey M A, Rivera R P
Can J Ophthalmol. 1985 Aug;20(5):184-5.
A 4-year-old boy with trisomy 21 and a congenital cataract underwent cataract extraction and implantation of an iris-supported intraocular lens (IOL). Four years later the implant dislocated anteriorly and had to be removed. Now, 11 years postoperatively, the eye is blind, painful and shrunken. IOL implantation in infants and children is theoretically justified to preserve vision, reduce amblyopia and preserve fusion. The use of modern posterior chamber IOLs, especially when implanted in the lens capsular bag (if technically feasible), could reduce the risk of complications. However, until further data are accumulated, a conservative approach is warranted.
一名患有21三体综合征和先天性白内障的4岁男孩接受了白内障摘除术并植入了虹膜支撑人工晶状体（IOL）。四年后，植入物向前脱位，不得不取出。现在，术后11年，该眼失明、疼痛且萎缩。理论上，在婴幼儿中植入IOL是为了保留视力、减少弱视并保持双眼融合。使用现代后房型IOL，尤其是当植入晶状体囊袋内（如果技术可行），可以降低并发症风险。然而，在积累更多数据之前，采取保守方法是必要的。
