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First Author: A.Ozmen TURKEY
Co Author(s): G. Cevik
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To evaluate functional results and complications after Artisan aphakic iris-fixated posterior chamber intraocular lens (PCIOL) implantation in children with ectopia lentis or microspherophakia.
Uludag University, Department of Ophthalmology, Bursa, Turkey.
Thirty eyes of 17 children(11 boys, 6 girls) with ectopia lentis or microspherophakia underwent clear lens extraction surgery through a self-sealing scleral tunnel incision. Aphakia was corrected by Artisan aphakic iris-fixated PCIOL implantation. Change in visual acuity (VA) and complications were evaluated postoperatively.
Mean patient age at surgery was 8.6 years (range 3 to 17 years). Mean final best corrected visual acuity (BCVA) was 0.54 and final visual acuities gained lines in all patients. Complications related to Artisan aphakic iris-fixated PCIOL surgery included hypotony,glaucoma and IOL dislocation. Mean post-operative follow-up was 37 months (range 8 to 72 months).
In the absence of capsular support, implantation of aphakic iris-fixated PCIOLs in children can provide a beneficial effect on final visual outcome. As an promising alternative to transsclerally sutured PCIOLs, iris-fixated PCIOLs should be carried out cauitously in children.