Unilateral Scleral Fixation of Posterior Chamber Intraocular Lenses in Pediatric Complicated Traumatic Cataracts.
10.3341/kjo.2009.23.3.148
- Author:
Dong Won HYUN
1
;
Tae Gon LEE
;
Sung Won CHO
Author Information
1. Department of Ophthalmology, College of Medicine, Konyang University Hospital, Daejeon, Korea. idoc@kimeye.com
- Publication Type:Original Article
- Keywords:
Children;
Pediatric traumatic cataract;
Scleral fixation of posterior chamber IOL (SF-PCIOL)
- MeSH:
Anterior Eye Segment/injuries;
Aphakia, Postcataract/*surgery;
Cataract/*etiology/physiopathology;
Child;
Child, Preschool;
Endophthalmitis/etiology;
Eye Injuries/*complications;
Female;
Follow-Up Studies;
Humans;
Lens Implantation, Intraocular/*methods;
Male;
Postoperative Period;
Retrospective Studies;
Sclera/*surgery;
*Suture Techniques;
Visual Acuity
- From:Korean Journal of Ophthalmology
2009;23(3):148-152
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study was to evaluate the visual outcomes and complications of unilateral scleral fixation of posterior chamber intraocular lenses (SF-PCIOLs) in pediatric complicated traumatic cataracts without capsular support. METHODS: This study involved five eyes of five children who underwent unilateral SF-PCIOL. All patients had a unilateral complicated traumatic cataract associated with anterior or posterior segment injury. Visual acuity (VA), IOL position, and postoperative complications were assessed during follow-up. RESULTS: The mean age of patients at the time of SF-PCIOL was 90 months (range, 66-115). The mean duration of follow-up time after surgery was 22 months (range, 5-55). In all patients, the best-corrected VA was either improved or was stable at last follow-up following SF-PCIOL implantation. There were no serious complications. CONCLUSIONS: Unilateral scleral fixation of PCIOL can be a safe and effective procedure for pediatric, unilateral, complicated traumatic cataracts without capsular support in selected cases.
