Short-term results of scleral intraocular lens fixation in children.
OBJECTIVE
To study the safety and efficacy of scleral intraocular lens (IOL) fixation in children.


METHODS
A university practice.


METHODS
This retrospective review evaluated the results and complications in 6 consecutive eyes of 3 children who had anterior vitrectomy, with or without lensectomy, and scleral IOL fixation to correct ectopia lentis or aphakia.


RESULTS
At a mean follow-up of 17.3 months (range 13 to 21 months), all eyes had a stable and well-positioned posterior chamber IOL and good visual improvement. The only complication was asymptomatic pupillary capture of the IOL in 3 eyes. Reversal of the pupillary capture was achieved by pupil dilation with the patient in a supine position.


CONCLUSIONS
The preliminary results of scleral IOL fixation in children are encouraging. The procedure's application in well-selected cases can be considered. However, its long-term safety and efficacy must be further assessed through studies with larger sample sizes and a longer follow-up.
Lam
D S
DS
Prince of Wales Hospital, Department of Ophthalmology & Visual Sciences, Chinese University of Hong Kong, Shatin, N.T.
Ng
J S
JS
Fan
D S
DS
Chua
J K
JK
Leung
A T
AT
Tham
C C
CC
D001036:Aphakia, Postcataract / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004479:Ectopia Lentis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D019904:Polymethyl Methacrylate; D012189:Retrospective Studies; D012449:Safety; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome; D014821:Vitrectomy
D019904:Polymethyl Methacrylate