Official ESCRS | European Society of Cataract & Refractive Surgeons

Visual outcomes in subluxated lens as seen in a tertiary eye hospital

Session Details

Session Title: Special Cases
Session Date/Time: Friday 20/02/2015 | 08:30-10:30
Paper Time: 09:10
Venue: Sadirvan B
First Author: : R.Deshpande INDIA
Co Author(s): :    M. Deshpande   K. Dole   M. Dedhia        

Abstract Details


To find out types and causes of ectopia lentis that present in the hospital and the type of intervention given.The main purpose of this study was to evaluate the visual outcome of those with ectopia lentis after surgery followed by optical correction


The study was conducted from October 2008 to june 2009 in P.B.M.A’s H.V.Desai Eye Hospital Pune Maharashtra India


50 eyes of 43 patients with subluxated lens of all the age group with varying etiology were included.Patients with pseudoexfoliation and infection such as corneal ulcer, corneal melt were excluded from the study. The preoperative examination included age of patient, etiology and visual acuity. The technique of surgery was decided by the surgeon depending of degree of subluxation, anterior segment status and age of patient


Trauma is the most common cause of acquired subluxation of which males are more prone(42%).Congenital subluxation are equally common (19% each).Marfans is a common cause(50%).Secondary glaucoma-traumatic lens subluxation(18%),myopic fundus-congenital lens subluxation(24%).Significant visual impairment is seen in traumatic lens subluxation(68%).Refraction-31% of congenital subluxation,64% of traumatic subluxation required surgery.6(13%) patients underwent anterior vitrectomy+ACIOL,7(15.5%) underwent SICS+CTR with PCIOL out of which congenital-2,traumatic-4,idiopathic-1.72.4% of eyes showed visual acuity of >6/18 after 6 months follow up.3 eyes had visual acuity <3/60, out of which one eye had traumatic subluxation


- Presence of subluxated lens is not an absolute indication of surgical removal but prompt management either refractive or surgical should be done in cases of congenital subluxation..Treatment of secondary glaucoma is important in traumatic subluxation

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