[The estimation of functional results after surgical treatment for ectopia lentis in children].
OBJECTIVE
To review the visual outcome of planned pars plana lensectomy and vitrectomy with posterior chamber intraocular lens implantation for ectopia lentis in children.


METHODS
Between 1997-2002, 116 eyes were operated because of lens subluxation, mainly because of decreased visual acuity (<0.4). Lens subluxation was associated with homocystinuria in 4 patients (8 eyes), Marfan's syndrome in 30 (54 eyes), congenital simple ectopia lentis in 16 (31 eyes), post trauma in 6 (6 eyes), and congenital ectopia lentis and pupillae in 9 (17 eyes). Time of observation ranged between 1 to 6 years (mean 3.4).


RESULTS
After surgery, we achieved best-corrected visual acuity improvement in 89%. Unsatisfactory visual results were due to amblyopia (9 eyes), complications of retinal detachement surgery (3 eyes), uveitis (2 eyes), glaucoma (1 eye).


CONCLUSIONS
Pars plana lensectomy, vitrectomy and scleral-fixated IOL implantation give quick and good functional results. To achieve these results, visual rehabilitation and amblyopia treatment is necessary.
Kanigowska
Krystyna
K
Z Kliniki Okulistyki Instytutu, Pomnika--Centrum Zdrowia Dziecka, w Warszawie.
Grałek
Mirosława
M
Klimczak-Slaczka
Dorota
D
D000550:Amblyopia / Q000150:complications; D002648:Child; D002675:Child, Preschool; D004479:Ectopia Lentis / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006712:Homocystinuria / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D008382:Marfan Syndrome / Q000453:epidemiology; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology