Scleral- fixated intraocular lens implantation in microspherophakia
Identifieur interne : 000E58 ( Main/Merge ); précédent : 000E57; suivant : 000E59Scleral- fixated intraocular lens implantation in microspherophakia
Auteurs : Sujata Subbiah [Inde] ; Philip A. Thomas [Inde] ; Ca Nelson Jesudasan [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2014.
Abstract
In microspherophakia, abnormal laxity of the lenticular zonules leads to development of a spherical lens and possible subluxation. We evaluated long-term results of lens removal with scleral-fixated intraocular lens (SFIOL) implantation in microspherophakia.
Case series. SF IOLs were implanted in four consecutive patients with bilateral microspherophakia (eight eyes [three with pupillary block and secondary glaucoma who underwent immediate surgery and five with only subluxation who underwent elective surgery]). Post-operative best-corrected visual acuity (BCVA), intraocular pressure (IOP) and lens position were evaluated periodically from day 1 to 18 months.
All patients were females (mean age 28 ± 7.03 years). In group 1 eyes (three eyes that presented with pupillary block), the mean BCVA improved from 0.008 decimals (preoperative) to 0.50 decimals (final post-operative visit); in group 2 eyes (the other five eyes), the mean BCVA improved from 0.12 ± 0.21 decimals to 0.73 ± 0.14 decimals. The preoperative mean IOP (54.53 ± 7.33 mmHg) in group 1 eyes was significantly (
SFIOLs may be an option for surgical management of microspherophakia.
Url:
DOI: 10.4103/0301-4738.129787
PubMed: 24881608
PubMed Central: 4065512
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<author><name sortKey="Subbiah, Sujata" sort="Subbiah, Sujata" uniqKey="Subbiah S" first="Sujata" last="Subbiah">Sujata Subbiah</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff>
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<author><name sortKey="Thomas, Philip A" sort="Thomas, Philip A" uniqKey="Thomas P" first="Philip A" last="Thomas">Philip A. Thomas</name>
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<author><name sortKey="Jesudasan, Ca Nelson" sort="Jesudasan, Ca Nelson" uniqKey="Jesudasan C" first="Ca Nelson" last="Jesudasan">Ca Nelson Jesudasan</name>
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<author><name sortKey="Jesudasan, Ca Nelson" sort="Jesudasan, Ca Nelson" uniqKey="Jesudasan C" first="Ca Nelson" last="Jesudasan">Ca Nelson Jesudasan</name>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title>
<p>In microspherophakia, abnormal laxity of the lenticular zonules leads to development of a spherical lens and possible subluxation. We evaluated long-term results of lens removal with scleral-fixated intraocular lens (SFIOL) implantation in microspherophakia.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>Case series. SF IOLs were implanted in four consecutive patients with bilateral microspherophakia (eight eyes [three with pupillary block and secondary glaucoma who underwent immediate surgery and five with only subluxation who underwent elective surgery]). Post-operative best-corrected visual acuity (BCVA), intraocular pressure (IOP) and lens position were evaluated periodically from day 1 to 18 months.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>All patients were females (mean age 28 ± 7.03 years). In group 1 eyes (three eyes that presented with pupillary block), the mean BCVA improved from 0.008 decimals (preoperative) to 0.50 decimals (final post-operative visit); in group 2 eyes (the other five eyes), the mean BCVA improved from 0.12 ± 0.21 decimals to 0.73 ± 0.14 decimals. The preoperative mean IOP (54.53 ± 7.33 mmHg) in group 1 eyes was significantly (<italic>P</italic>
= 0.03) higher than that (16 ± 4.30 mm Hg) in group 2 eyes. At final post-operative visit, the mean IOP (11.67 ± 2.88 mmHg) in group 1 eyes was not significantly different from that in group 2 eyes (13.0 ± 3.08 mmHg). All SFIOLs were well- centred at the final visit. None of the patients encountered any peroperative or postoperative complications.</p>
</sec>
<sec id="st4"><title>Conclusions:</title>
<p>SFIOLs may be an option for surgical management of microspherophakia.</p>
</sec>
</div>
</front>
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