ECTOPIA LENTIS IN CHILDREN CAN BE TREATED WITH AN INTRAOCULAR LENS WITHOUT SUTURES, GLUES, OR FLAPS
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Keywords
Sutureless, Glueless, Pediatric, Intraocular Lens, Complications
Abstract
Sutureless, glueless, flapless, intrascleral fixation of intraocular lenses (SFIOLs) for the pediatric population is to be evaluated for refractive outcome and complication profile. Patients underwent SFIOL for ectopia lentis who were 20 or older, were included in this retrospective study. It included the patient's uncorrected visual acuity (UCVA) preoperatively, the cycloplegic refraction, best-corrected visual acuity (BCVA) postoperatively, and their complications during surgery. According to a study, the median UCVA was logMAR 1.78 along with logMAR 0.30 along with (p<0.001). Based on data, the mean pre- and postoperative BCVAs were both logMAR 0.24. Ninety percent of the eyes achieved UCVAs of 20/60. There were 85.0% of eyes that achieved a BCVA of 20/30 or better. Hyphaema (10%), vitreous hemorrhage (2.5%), and ocular hypotonia (2.5%) are the most common postoperative complications. No long-term effects were observed in any of these cases. IOL subluxation was observed in only one case. It was found that no late endophthalmitis or retinal detachments occurred in the study. Final thoughts. It is suitable for children with noncompliance with spectacles since refractive error is minimal. Adults have reported similar complication profiles.
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Dr. Pulgurthi Ramgopal
Assistant Professor, Department Ophthalmology, Sri Lakshmi Narayana Institute of Medical Science, Pondicherry, India.