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Visual rehabilitation by scleral fixation of posterior chamber Intraocular lenses in amblyopic aphakic children

Poster Details

First Author: M.Diaab SEYCHELLES

Co Author(s):    A. Samir   S. Eissa           

Abstract Details


To report on the outcome of scleral fixated posterior chamber intraocular lens (S-IOL) implantation in aphakic amblyopic children after 1 year.


Magrabi hospital Damam ,KSA


Amblyopic children with aphakia after traumatic and congenital cataract surgery unsuitable for spectacle or contact lens correction were operated with an anterior vitrectomy and inside-out double thread scleral fixation of an Alcon CZ70BD pcIOL. Refraction and vision was compared after 12 months.


23S-IOLs were implanted in 16 children aged 2-16 years: 10 eyes with traumatic [Group A], and 13 eyes with congenital cataracts [Group B]. Preoperative UCVA compared to postoperative UCVA improved in 9/10 eyes in group A and 12/13 eyes in group B. Preoperative BCVA Compared to postoperative UCVA improved in 9/10 eyes (90 percent) in group A and 4/13 eyes (31 percent) in group B. More than one year elapsed in 2/10 eyes of group Aand 8/13eyes in group B.Postoperative refraction was within 2.0D of target in 17/23 eyes. Complications included temporary IOP rise in 2,vitreous hemorrhage in 1,and iris capture in 3 eyes.


S-IOL implantation may be beneficial for aphakic children lacking other means for visual rehabilitation to improve vision. Amblyopia may be improved in most trauma, but only few congenital cataract eyes.

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