INTRAOCULAR LENS IMPLANTATION WITH FLATTENED FLANGED INTRASCLERAL FIXATION TECHNIQUE IN PEDIATRIC APHAKIA

Yazarlar: Fikret Ucar

Yayın tarihi: 2022/1/25

Dergi: Journal of American Association for Pediatric Ophthalmology and Strabismus

Yayıncı: Mosby

Açıklama

Purpose
To evaluate the clinical outcomes of flattened flanged intrascleral fixation of the intraocular lens (IOL) in cases of pediatric aphakia without adequate capsular support.

Methods
The medical records of children who underwent flattened flanged intrascleral IOL implantation for aphakia with insufficient capsular support, subluxated cataract, ectopia lentis, and dislocated IOL were reviewed retrospectively. Best-corrected visual acuity, astigmatism, corneal endothelial cell loss, IOL tilt, and intra- and postoperative complications were evaluated.

Results
A total of 21 eyes of 16 patients were included. Mean patient age at time of surgery was 7.1 ± 3.8 years (range, 2-15). Mean follow-up time after surgery was 2.0 years. The mean pre- and postoperative best-corrected visual acuities were 1.03 ± 0.49 logMAR and 0.33 ±0.44 logMAR, respectively (P < 0.001). The mean preoperative astigmatism was 2.2 ± 0.9 D; and the …