Abstract | PURPOSE: SETTING: Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA. METHODS: This study comprised 22 eyes of 12 consecutive pediatric patients with ectopia lentis who had PPL-PPV by the same vitreoretinal surgeon with (12 eyes; Group L) or without (10 eyes; Group A) insertion of a foldable iris-sutured IOL between June 1998 and October 2006. Outcome measures included the proportion of eyes achieving visual acuity of 20/40 or better, mean logMAR visual acuity, and complications. RESULTS: There was no statistically significant difference between the 2 groups in the proportion of eyes achieving a visual acuity of 20/40 or better (Group A: 5/10; Group L: 10/12) (P = .17) or the mean postoperative best corrected logMAR visual acuity (Group A: 0.41 [20/52]; Group L: 0.24 [20/35]) (P = .18). Complications included IOL dislocation in 4 (33%) of 12 eyes in Group L (95% confidence interval, 11%-65%). Eyes with dislocated IOLs had retrieval with resuturing of the IOL to the iris and had a mean visual acuity of 20/27 at the last follow-up. No retinal detachment was observed. CONCLUSION: Pars plana lensectomy- vitrectomy with iris-fixation of a foldable IOL for the management of ectopia lentis yielded visual outcomes as least as good as those of optically corrected aphakia with a significant risk for dislocation.
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Authors | Andrew C Kopel, Petros E Carvounis, M Bowes Hamill, Mitchell P Weikert, Eric R Holz |
Journal | Journal of cataract and refractive surgery
(J Cataract Refract Surg)
Vol. 34
Issue 4
Pg. 596-600
(Apr 2008)
ISSN: 0886-3350 [Print] United States |
PMID | 18361981
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Child
- Child, Preschool
- Ectopia Lentis
(surgery)
- Follow-Up Studies
- Humans
- Iris
(surgery)
- Lens Implantation, Intraocular
(methods)
- Lens, Crystalline
(surgery)
- Lenses, Intraocular
- Postoperative Complications
- Retrospective Studies
- Suture Techniques
- Treatment Outcome
- Visual Acuity
(physiology)
- Vitrectomy
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