[The estimation of functional results after surgical treatment for ectopia lentis in children].

Abstract

PURPOSE:

To review the visual outcome of planned pars plana lensectomy and vitrectomy with posterior chamber intraocular lens implantation for ectopia lentis in children.

MATERIAL AND METHODS:

Between 1997-2002, 116 eyes were operated because of lens subluxation, mainly because of decreased visual acuity (<0.4). Lens subluxation was associated with homocystinuria in 4 patients (8 eyes), Marfan's syndrome in 30 (54 eyes), congenital simple ectopia lentis in 16 (31 eyes), post trauma in 6 (6 eyes), and congenital ectopia lentis and pupillae in 9 (17 eyes). Time of observation ranged between 1 to 6 years (mean 3.4).

RESULTS:

After surgery, we achieved best-corrected visual acuity improvement in 89%. Unsatisfactory visual results were due to amblyopia (9 eyes), complications of retinal detachement surgery (3 eyes), uveitis (2 eyes), glaucoma (1 eye).

CONCLUSIONS:

Pars plana lensectomy, vitrectomy and scleral-fixated IOL implantation give quick and good functional results. To achieve these results, visual rehabilitation and amblyopia treatment is necessary.

• Authors: Krystyna Kanigowska, Mirosława Grałek, Dorota Klimczak-Slaczka
• Journal: Klinika oczna (Klin Oczna) Vol. 107 Issue 7-9 Pg. 460-3 ( 2005) ISSN: 0023-2157 [Print] Poland
• Vernacular Title: Ocena wyników czynnościowych po leczeniu operacyjnym przemieszczonej soczewki u dzieci.
• PMID: 16416997 (Publication Type: English Abstract, Journal Article)

Topics

• Amblyopia (complications)
• Child
• Child, Preschool
• Ectopia Lentis (epidemiology, surgery)
• Female
• Homocystinuria (epidemiology)
• Humans
• Infant
• Male
• Marfan Syndrome (epidemiology)
• Treatment Outcome
• Visual Acuity (physiology)