Iris-sutured intraocular lenses for ectopia lentis in children.
OBJECTIVE
To compare outcomes and complications of pars plana lensectomy-vitrectomy (PPL-PPV) for the management of ectopia lentis in children with and without a foldable iris-sutured intraocular lens (IOL).


METHODS
Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.


METHODS
This study comprised 22 eyes of 12 consecutive pediatric patients with ectopia lentis who had PPL-PPV by the same vitreoretinal surgeon with (12 eyes; Group L) or without (10 eyes; Group A) insertion of a foldable iris-sutured IOL between June 1998 and October 2006. Outcome measures included the proportion of eyes achieving visual acuity of 20/40 or better, mean logMAR visual acuity, and complications.


RESULTS
There was no statistically significant difference between the 2 groups in the proportion of eyes achieving a visual acuity of 20/40 or better (Group A: 5/10; Group L: 10/12) (P = .17) or the mean postoperative best corrected logMAR visual acuity (Group A: 0.41 [20/52]; Group L: 0.24 [20/35]) (P = .18). Complications included IOL dislocation in 4 (33%) of 12 eyes in Group L (95% confidence interval, 11%-65%). Eyes with dislocated IOLs had retrieval with resuturing of the IOL to the iris and had a mean visual acuity of 20/27 at the last follow-up. No retinal detachment was observed.


CONCLUSIONS
Pars plana lensectomy-vitrectomy with iris-fixation of a foldable IOL for the management of ectopia lentis yielded visual outcomes as least as good as those of optically corrected aphakia with a significant risk for dislocation.
Kopel
Andrew C
AC
Cullen Eye Institute, Baylor College of Medicine, 6565 Fannin, Houston, TX 77030, USA.
Carvounis
Petros E
PE
Hamill
M Bowes
MB
Weikert
Mitchell P
MP
Holz
Eric R
ER
D002648:Child; D002675:Child, Preschool; D004479:Ectopia Lentis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007908:Lens, Crystalline / Q000601:surgery; D007910:Lenses, Intraocular; D011183:Postoperative Complications; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy