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Results of intrascleral and intracapsular fixation of foldable IOL in children with lens subluxation

Poster Details

First Author: I.Zaydullin RUSSIA

Co Author(s):    M. Bikbov              

Abstract Details

Purpose:

The goal of the work was to study the results of the developed method of combined intrascleral and intracapsular fixation of foldable IOL in children with lens subluxation (Patent RU 2 346 676 dated 20.02.2009).

Setting:

Ufa Eye Research Institute, Ufa, Russia

Methods:

The results of surgical treatment of 27 children with lens subluxation (48 eyes) were studied. Surgical technique: an eccentric circular continuous capsulorhexis, aspiration of the lens masses , then one haptic arm of the IOL and the body of the IOL were implanted intracapsular; the other arm was fixated intrascleral in the sector, that opposite to the lens dislocation. Age of children at time of surgery ranged from 3 to 16 years. Follow-up period after surgery was from 1 to 8 years.

Results:

In all cases a stable central position of the IOL in the capsular bag was achieved. Visual acuity before surgery was 0,12 ± 0,08, 2 years after surgery it was 0,54 ± 0,11. Developed in 39 eyes 1 - 3 months after surgery secondary cataract was removed by laserpuncture. Intrascleral fixed haptic arm came out under the conjunctiva of the eyeball in 4 eyes. This part of the haptic arm was removed in 2 eyes. In long-term follow up period there was no any case of dislocation or displacement of the IOL, or increase of intraocular pressure.

Conclusions:

The developed method provides stable position of the foldable IOLs, achievements of high visual functions; it can be used in younger children with lens subluxation.

Financial Disclosure:

NONE

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