Unilateral scleral fixation of posterior chamber intraocular lenses in pediatric complicated traumatic cataracts.
OBJECTIVE
The purpose of this study was to evaluate the visual outcomes and complications of unilateral scleral fixation of posterior chamber intraocular lenses (SF-PCIOLs) in pediatric complicated traumatic cataracts without capsular support.


METHODS
This study involved five eyes of five children who underwent unilateral SF-PCIOL. All patients had a unilateral complicated traumatic cataract associated with anterior or posterior segment injury. Visual acuity (VA), IOL position, and postoperative complications were assessed during follow-up.


RESULTS
The mean age of patients at the time of SF-PCIOL was 90 months (range, 66-115). The mean duration of follow-up time after surgery was 22 months (range, 5-55). In all patients, the best-corrected VA was either improved or was stable at last follow-up following SF-PCIOL implantation. There were no serious complications.


CONCLUSIONS
Unilateral scleral fixation of PCIOL can be a safe and effective procedure for pediatric, unilateral, complicated traumatic cataracts without capsular support in selected cases.
Department of Ophthalmology, College of Medicine, Konyang University Hospital, Daejeon, Korea.
Dong Won
DW
Hyun
Tae-Gon
TG
Lee
Sung Won
SW
Cho
D000869:Anterior Eye Segment / Q000293:injuries; D001036:Aphakia, Postcataract / Q000601:surgery*; D002386:Cataract / Q000209:etiology* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D009877:Endophthalmitis / Q000209:etiology; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D011184:Postoperative Period; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity