INTRAOCULAR LENS IMPLANTATION WITH INTRASCLERAL FIXATION TECHNIQUE IN PEDIATRIC EYES WITH INSUFFICIENT CAPSULAR SUPPORT
Published 2024 - 28th ESCRS Winter Meeting
Reference: FP10 | Type: Submission | DOI: 10.82333/kh92-cb47
Authors: Vladimir Pfeifer* 1 , Boža Gorenjak de Souza 1 , Ana Barbara Ursic 1 , Manca Tekavcic Pompe 1
1University Eye Hospital,University Medical Center,Ljubljana,Slovenia
Purpose
To present a pediatric case series of intrascleral intraocular lens (IOL) fixation using modified Yamane technique due to insufficient capsular support
Setting
University Eye Hospital Ljub;ljana
Methods
In a retrospective study, clinical data of pediatric patients after intrascleral IOL fixation using the Yamane technique were analyzed. Surgeries were performed by a single surgeon between April 2018 and March 2023. Best-corrected visual acuity, refraction, intraocular pressure (IOP) and intra- and postoperative complications were collected.
Results
A total of 20 eyes of 11 patients were included. Mean patient age at time of surgery was 6,6 ± 2,6 years (range, 4-14). Indications for scleral fixation were ectopic lens idiopathic [n=9] and secondary to Marfan syndrome [n=9] or homocystinuria [n=2]. The mean pre- and postoperative best-corrected visual acuities were 0,22 ± 0,17 and 0,66 ± 0,27, respectively (P < 0,001). The mean postoperative astigmatism was 1,37 ± 0,67 (n=16). IOP was within normal limits throughout the treatment in all patients. No major intraoperative complications occurred. One patient required IOL optic repositioning 3 months after surgery due to optic capture.
Conclusion
With minor adjustments, the Yamane technique can be adapted to the pediatric eye. It provides stable IOL fixation without the use of sutures or glue and good visual outcome with very few intra- and postoperative complications.