Scleral-fixated posterior chamber intraocular lens implantation in pediatric and adult patients

Semin Ophthalmol. 2014 Jan;29(1):39-44. doi: 10.3109/08820538.2013.835834. Epub 2013 Oct 30.

Abstract

Purpose: To evaluate the results of scleral-fixated posterior chamber intraocular lenses (SFIOL) in pediatric and adult patients.

Methods: We carried out a retrospective analysis of 129 eyes of 120 patients (adult group, n = 96; pediatric group, n = 24) who underwent SFIOL implantation. Outcome measures were indications, corrected distance visual acuity (CDVA), change in visual acuity, and complications.

Results: The median follow-up time was six months (minimum: 6; maximum: 55 months). The median preoperative CDVAs were similar between the groups (p = 0,253). The median postoperative CDVA was 0.2 (min: hand motion; max: 0.8) in pediatric patients and 0.5 (min: hand motion; max: 1.0) in adult patients in decimal notation, (p = 0.017). The CDVA improved at least one Snellen line or remained unchanged in all pediatric eyes, and in 87 (90.6%) adult eyes. The change in visual acuity was similar between the groups (p = 0.296).

Conclusion: In both pediatric and adult patients, SFIOL implantation ends with favorable outcomes over the short term.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Lens Implantation, Intraocular / methods*
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Phacoemulsification*
  • Polymethyl Methacrylate*
  • Polypropylenes
  • Postoperative Complications
  • Retrospective Studies
  • Sclera / surgery*
  • Suture Techniques*
  • Sutures
  • Visual Acuity / physiology
  • Vitrectomy
  • Young Adult

Substances

  • Polypropylenes
  • Polymethyl Methacrylate