Note:
On March 17, 1989, Doctor Michele Fortunato, creator and designer of artificial bifocal and trifocal crystallines, implanted the first pseudo-accommodative IOL in a 5-year-old child, suffering from a traumatic cataract. Now, the patient is an adult with children of her own and an 8 / 10 visual acuity.
For more than three decades, Fortunato has worked with different IOLs, including 3M, Pharmacia, Re Store, Amo Technis, Acri Lisa, Acriva, Array, ReZoom, AcriTec Twin P-IOLs and continues to work with new P-IOLs as they are developed.
With the advancement of new lenses, Dr. Fortunato has refined his surgical strategy, using only two corneal accesses and enhancing his ability to avoid damaging the IOL in any way. After completing more than 2000 surgeries, Fortunato has been able to identify the ideal characteristics of the ideal P-IOL as: flexible, diffractive instead of refractive, having a +4 near addition, having a wide range of dioptric powers of at least up to +35-40 diopters.
Throughout his career, he has implanted most of the bifocal and multifocal IOLs on the market in children ranging from four weeks to fourteen years old. The IOLs have then allowed for a cataract cure, restoring pseudo-accommodative activity.
Along with the implants, visual rehabilitation is crucial for seeing satisfactory results. It is crucial that those close to the child participate actively in rehabilitation and understand why it is important. More resources, energy, time, and persistence are required than they might be with an adult’s recovery.
Cataract Surgery in Children provides information regarding vision correction in children from an insightful and experienced angle, bridging the gap between base-level knowledge and fully understanding the process.
All the authors of this book do not have any financial interests. |
