Details

Autor(en) / Beteiligte

• Kumar, Dhivya Ashok
• Agarwal, Amar
• Prakash, Dimple
• Prakash, Gaurav
• Jacob, Soosan
• Agarwal, Athiya

Titel

Glued Intrascleral Fixation of Posterior Chamber Intraocular Lens in Children

Ist Teil von

• American journal of ophthalmology, 2012-04, Vol.153 (4), p.594-601.e2

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2012

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Purpose To evaluate the short-term results of glued intrascleral fixation of posterior chamber intraocular lens (glued IOL) in children without adequate capsular support. Design Noncomparative retrospective observational case series. Patients Setting: Institutional practice. Methods: Forty-one eyes of 33 children who underwent glued IOL implantation were retrospectively evaluated. The indications were postsurgical aphakia, subluxated cataract, ectopia lentis, traumatic subluxation, and decentered IOL. Main outcome measures: Visual acuity (VA), endothelial cell changes, intraoperative and postoperative complications. Results The mean age at the time of glued IOL was 10.7 ± 3.6 years (range 5−15). The mean duration of follow-up after surgery was 17.5 ± 8.5 months (range 12-36). The mean postoperative best spectacle-corrected visual acuity (BCVA in decimal equivalent) was 0.43 ± 0.33 and there was significant change noted ( P < 0.001). Postoperatively, 20/20 and >20/60 BCVA was obtained in 17.1% and 46.3% of eyes respectively. BCVA improvement more than 1 line was seen in 22 eyes (53.6%). The mean postoperative refraction was myopic (−1.19 ± 0.7 diopters [D]) in 19 eyes and hyperopic (+1.02 ± 0.7 D) in 22 eyes. The mean endothelial loss was 4.13% (range 1.3%-5.94%). The 3 causes of reduced BCVA were the preexisting corneal, retinal pathology, and amblyopia. Postoperative complications included optic capture in 1 eye (2.4%), macular edema in 2 eyes (4.8%), and clinical decentration in 2 eyes (4.8%). There was no postoperative retinal detachment, IOL dislocation, endophthalmitis, or glaucoma. Conclusion Short-term results in children after glued IOL were favorable, with a low rate of complications. However, regular follow-ups are required since long-term risks are unknown.