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Results of intrascleral and intracapsular fixation of foldable IOL in children with lens subluxation

Poster Details

First Author: I.Zaydullin RUSSIA

Co Author(s):    M. Bikbov              

Abstract Details


The goal of the work was to study the results of the developed method of combined intrascleral and intracapsular fixation of foldable IOL in children with lens subluxation (Patent RU 2 346 676 dated 20.02.2009).


Ufa Eye Research Institute, Ufa, Russia


The results of surgical treatment of 27 children with lens subluxation (48 eyes) were studied. Surgical technique: an eccentric circular continuous capsulorhexis, aspiration of the lens masses , then one haptic arm of the IOL and the body of the IOL were implanted intracapsular; the other arm was fixated intrascleral in the sector, that opposite to the lens dislocation. Age of children at time of surgery ranged from 3 to 16 years. Follow-up period after surgery was from 1 to 8 years.


In all cases a stable central position of the IOL in the capsular bag was achieved. Visual acuity before surgery was 0,12 ± 0,08, 2 years after surgery it was 0,54 ± 0,11. Developed in 39 eyes 1 - 3 months after surgery secondary cataract was removed by laserpuncture. Intrascleral fixed haptic arm came out under the conjunctiva of the eyeball in 4 eyes. This part of the haptic arm was removed in 2 eyes. In long-term follow up period there was no any case of dislocation or displacement of the IOL, or increase of intraocular pressure.


The developed method provides stable position of the foldable IOLs, achievements of high visual functions; it can be used in younger children with lens subluxation.

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