LENS ECTOPIAS IN CHILDREN: EPIDEMIOLOGICAL AND CLINICAL PROFILE ABOUT 126 EYES
Published 2024 - 28th ESCRS Winter Meeting
Reference: FP13 | Type: Submission | DOI: 10.82333/kst6-jr43
Authors: Naoual Mtalai* 1 , Ghizlane Daghouj 1 , Chahir Roukaya 1 , Zyad Laftimi 1 , Loubna Elmaaloum 1 , Bouchra Allali 1 , Asmaa Elkettani 1
1PEDIATRIC OPHTALMOLOGY,20 AUGUST HOSPITAL,CASABLANCA,Morocco
Purpose
The aim of our work is to describe the clinical, epidemiological, therapeutic and evolutionary profile of lens ectopias in children
Setting
We studied the epidemiological, clinical, etiological, therapeutic and evolutionary elements of operated children. Lens subluxations of traumatic origin were excluded from our study.
Methods
Retrospective descriptive study of 63 children operated in the department of pediatric ophthalmology of Casablanca from January 2010 to September 2022. We studied the epidemiological, clinical, etiological, therapeutic and evolutionary elements of operated children. Lens subluxations of traumatic origin were excluded from our study.
Results
The average age of the operated children was 7.5 years with a male predominance of 70%.The decrease in visual acuity observed at school was the most frequent reason for consultation, associated with family cases in 16% of cases. The bilaterality of the disease was present in all patients with a corrected visual acuity varying between hand movement and 3/10. High myopia was present in 33% of the patients. 65% of the lens was subluxated, with 2 cases of lens dislocation in the anterior chamber. The associated ocular abnormalities were aniridia (5%), cataract (14%), ocular hypertonia (2.5%) and degenerative lesions of the retinal periphery (20%). Phacophagia with anterior vitrectomy was performed in all patients, and visual rehabilitation was based on the use of aphakic glasses or contact lenses and the treatment of amblyopia has been associated . One case of implantation by implant craftsman in a 17 year old girl. The final visual acuity was superior to 5/10 in 30% of the eyes. Postoperative complications were rare, 2 cases of retinal detachment and 2 cases of glaucoma.
Conclusion
Crystalline ectopia is a progressive and serious disease requiring an urgent management. Conservative treatment is reserved for minor uncomplicated forms with a close monitoring. The discovery of a case requires an etiological investigation and family screening with regular follow-up even after surgical treatment.