title: Long-term results of lensectomy in children with ectopia lentis.
abstract: OBJECTIVE
  To report the clinical features and long-term visual results in children with ectopia lentis after lensectomy.
  
  
  METHODS
  A retrospective analysis was performed with the records of 78 eyes of 42 patients operated on and observed for at least 3 years.
  
  
  RESULTS
  Mean age at diagnosis was 4.6 years, mean age at surgery was 5.7 years, and follow-up period was an average of 7.1 years. Of 42 patients exhibiting bilateral ectopia lentis, 6 received monocular surgery. Mean age at diagnosis was significantly higher and mean postoperative best-corrected visual acuity was significantly lower in the monocular surgery group than in the binocular surgery group (P < .05). All eyes exhibited reduced hyperopia for 5 years postoperatively, but the reduction rate of hyperopia in the monocular group was significantly lower than inthe binocular group (P < .05). No complications occurred during operations and 1 eye (1.3%) in a patient with Marfan's syndrome exhibited retinal detachment 9 years after surgery.
  
  
  CONCLUSIONS
  Surgical treatment of ectopia lentis was safe and promising with regard to good visual outcomes after 7.1 years of follow-up. However, the possibility of amblyopia must be considered due to differences in the degree of dislocation between the two eyes.
authors.affiliation: Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
authors.forename: So Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Ho Kyung
authors.initials: HK
authors.lastname: Choung
authors.forename: Seong Joon
authors.initials: SJ
authors.lastname: Kim
authors.forename: Young Suk
authors.initials: YS
authors.lastname: Yu
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003261:Contact Lenses; D004479:Ectopia Lentis / Q000503:physiopathology / Q000601:surgery*; D005139:Eyeglasses; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology