To Report Surgical Outcomes And Refractive Predictability Of Iris-Fixated Intraocular Lens (Iol) Implantation In Pediatric Eyes Lacking Posterior Capsular Support And Compare Outcomes With Reported Data From Scleral-Fixated Techniques.

To report surgical outcomes and refractive predictability of iris-fixated intraocular lens (IOL) implantation in pediatric eyes lacking posterior capsular support and compare outcomes with reported data from scleral-fixated techniques.

Case series of five eyes of three pediatric patients aged 4–10 years undergoing iris-fixated IOL implantation. Indications included traumatic lens dislocation (n=2), aphakia without capsular support (n=2), and dislocated IOL (n=1). All procedures were performed under general anesthesia. Postoperative assessment included visual acuity, refractive outcome, centration, endothelial status, inflammation, and complication profile over follow-up of 6–18 months.

All eyes achieved stable IOL centration with no significant decentration or tilt. Mean postoperative spherical equivalent was within ±0.75 D of target refraction. Visual acuity improved in all cases appropriate to age and amblyopia status. No retinal detachment, significant uveitis, or persistent glaucoma occurred. Mild transient anterior segment inflammation resolved with topical corticosteroids.

Iris-fixated IOL implantation is a viable and predictable option in selected pediatric cases without capsular support. In this small series, refractive predictability and stability were comparable to published outcomes of scleral-fixated techniques, with potentially reduced risk of late suture erosion and haptic-related complications.