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[Refractive changes in children with pseudophakia].

PURPOSE
To report refractive changes after cataract surgery and intraocular lens implantation in children.


MATERIAL AND METHODS
104 patients (123 eyes) operated between January 1987 and December 1997 with congenital or traumatic cataract. Refractive power in both operated and non operated eyes, were measured.


RESULTS
The operated eyes tended to become myopic. Children, who underwent surgery in the first 6 years of life had a greater myopic shift than older children. The mean myopic shift ranged from -2.33 D to -0.51 D in operated eyes and from -1.05 D to -0.49 D in non operated eyes.


CONCLUSIONS
Pseudophakia in children is predicted to result in a large quantity of myopic shift, particularly in very young children. This natural myopic shift is magnified by the optical effect of a high-power IOL.