title: Posterior chamber lens implantation with scleral fixation in children with traumatic cataract.
abstract: OBJECTIVE
  To evaluate the outcomes of posterior chamber lens implantation with scleral fixation (SF-PCIOL) in children with traumatic cataract.
  
  
  METHODS
  Twenty-four eyes of 24 cases were included. All patients had corneal or corneoscleral lacerations that were primarily repaired. Traumatic cataract subsequently developed and SF-PCIOL was performed due to insufficient posterior capsule support.
  
  
  RESULTS
  The average age of the patients was 5.8 years (range: 4 to 10 years). All cases had SF-PCIOL implanted via internal route using triangular double scleral flaps made of 9-0 polypropylene after a complete anterior vitrectomy. Average follow-up was 14.6 ± 4.3 months (range: 11 to 18 months). Visual acuity was increased at the last visit in 23 (96%) patients. Common postoperative complications were fibrinous reaction in 6 (25%) patients, transient intraocular pressure increase in 4 (17%) patients, membrane formation requiring removal in 1 (4%) patient, transient intraocular hemorrhage as vitreous hemorrhage in 1 (4%) patient, and retinal detachment in 1 (4%) patient after the postoperative second month.
  
  
  CONCLUSIONS
  SF-PCIOL is an effective and reliable method in patients with pediatric traumatic cataract who had insufficient posterior capsule support.
authors.affiliation: Department of Ophthalmology, Dicle University Faculty of Medicine, 21280-Diyarbakir, Turkey. ihsancaca@yahoo.com
authors.forename: Ihsan
authors.initials: I
authors.lastname: Caca
authors.forename: Alparslan
authors.initials: A
authors.lastname: Sahin
authors.forename: Seyhmus
authors.initials: S
authors.lastname: Ari
authors.forename: Fuat
authors.initials: F
authors.lastname: Alakus
mesh_terms: D002386:Cataract; D002648:Child; D005131:Eye Injuries; D006801:Humans; D019654:Lens Implantation, Intraocular; D019591:Pseudophakia; D012590:Sclera / Q000601:surgery; D014792:Visual Acuity