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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Secondary iris-claw intraocular lens implantation in aphakic paediatric patients with iridocapsular synechiae

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Session Details

Session Title: Moderated Poster Session 04: Special Cases on Cataract Surgery: Paediatric

Session Date/Time: Tuesday 13/09/2016 | 14:00-15:00

Paper Time: 14:10

Venue: Poster Village: Pod 1

First Author: : A. Gschließer AUSTRIA

Co Author(s): :    E. Stifter   T. Neumayer   A. Papp   G. Dorner   A. Kruger  

Abstract Details

Purpose:

In congenital cataract treated by lensectomy in early infanthood the eye is usually not primarily supplied with an intraocular lens (IOL), but is let aphakic until a secondary IOL implantation is reasonable. The implantation of a posterior chamber IOL in the capsular bag or in the ciliary sulcus can be impossible in complicated eyes such as in the presence of iridocapsular synechiae. A continuous supply with contact lenses is also not always feasible in pediatric patients.

Setting:

Medical University of Vienna, Austria

Methods:

In this case study, we investigated the postoperative biometric and functional outcome in three pediatric aphakic patients who underwent secondary iris-claw IOL implantation. All three patients had a history of unilateral congenital cataract treated with lensectomy in early infanthood. At the time of secondary IOL implantation all three patients showed pronounced iridocapsular synechiae, due to which the prepupillar implantation of an iris-fixated anterior chamber lens (Artisan Pediatric Aphakia) was indicated. Emmetropia was specified as target refraction.

Results:

Mean age at the primary treatment (lensectomy sine lente combined with anterior vitrectomy) was 6 months of life, the secondary IOL implantation was performed on average at 43 months of life. The mean postoperative spherical equivalent was -0.17 diopters. A further supply with contact lenses could be avoided in all cases. A postoperative increase in visual acuity could be achieved in all three patients compared to the preoperative supply with contact lenses.

Conclusions:

The implantation of iris-claw IOL in pediatric patients with iridocapsular synechiae is a safe surgical technique with promising functional results. The achievable benefit of the discontinuation of the further necessity of contact lenses leads to a reduction of the patients’ disease burden.

Financial Disclosure:

NONE

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