Surgical management of non-traumatic pediatric ectopia lentis: A case series and review of the literature
Identifieur interne : 002160 ( Main/Exploration ); précédent : 002159; suivant : 002161Surgical management of non-traumatic pediatric ectopia lentis: A case series and review of the literature
Auteurs : Hugo Y. Hsu [États-Unis] ; Sean L. Edelstein ; John T. LindSource :
- Saudi Journal of Ophthalmology [ 1319-4534 ] ; 2012.
Abstract
To report a small series of pediatric patients with ectopia lentis that underwent limbal-approach lensectomy and vitrectomy and scleral-fixated intraocular lens implantation and to review the literature on the topic of surgical management of ectopia lentis.
A retrospective review of 13 eyes of seven patients that underwent lensectomy, vitrectomy, and scleral-fixated intraocular lens implantation and a review of the ophthalmic literature.
In our series, the average age at surgery was 70.3 ± 13.8 months and the average length of follow-up was 23.8 ± 5.9 months. The mean pre-operative visual acuity was 0.86 ± 0.17 which improved to 0.23 ± 0.09 post-operatively (
Surgical intervention for ectopia lentis via vitrectomy techniques yields good result. In cases of unilateral aphakia or in settings where compliance with aphakic refractive correction is questionable and amblyopia is a constant threat, scleral-fixated intraocular lens implantation is highly encouraged. However, long-term follow-up is required due to the risk of suture breakage and resultant intraocular lens dislocation over time.
Url:
DOI: 10.1016/j.sjopt.2012.05.001
PubMed: 23961012
PubMed Central: 3729358
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To report a small series of pediatric patients with ectopia lentis that underwent limbal-approach lensectomy and vitrectomy and scleral-fixated intraocular lens implantation and to review the literature on the topic of surgical management of ectopia lentis.</p>
</sec>
<sec><title>Method</title>
<p>A retrospective review of 13 eyes of seven patients that underwent lensectomy, vitrectomy, and scleral-fixated intraocular lens implantation and a review of the ophthalmic literature.</p>
</sec>
<sec><title>Results</title>
<p>In our series, the average age at surgery was 70.3 ± 13.8 months and the average length of follow-up was 23.8 ± 5.9 months. The mean pre-operative visual acuity was 0.86 ± 0.17 which improved to 0.23 ± 0.09 post-operatively (<italic>p</italic>
< 0.001). No complications were encountered in our series. A review of the literature found that amblyopia was the biggest vision-limiting factor. In general, the literature suggested that a higher percentage of eyes that were left aphakic achieved better vision than those implanted with a scleral-fixated intraocular lens. However, there may be selection bias in that more eyes receiving an intraocular lens may have pre-existing amblyopia. The complication rates for lensectomy or scleral-fixated intraocular lens implantation were low in the literature. In the latter group, suture breakage and resultant intraocular lens dislocation is a worrisome late complication.</p>
</sec>
<sec><title>Conclusion</title>
<p>Surgical intervention for ectopia lentis via vitrectomy techniques yields good result. In cases of unilateral aphakia or in settings where compliance with aphakic refractive correction is questionable and amblyopia is a constant threat, scleral-fixated intraocular lens implantation is highly encouraged. However, long-term follow-up is required due to the risk of suture breakage and resultant intraocular lens dislocation over time.</p>
</sec>
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<country name="États-Unis"><region name="Californie"><name sortKey="Hsu, Hugo Y" sort="Hsu, Hugo Y" uniqKey="Hsu H" first="Hugo Y." last="Hsu">Hugo Y. Hsu</name>
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