Long-term results of lensectomy in children with ectopia lentis.
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.
Kim
So Young
SY
Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Choung
Ho Kyung
HK
Kim
Seong Joon
SJ
Yu
Young Suk
YS
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