Scleral fixation of intraocular lens in eyes with history of open globe injury.
OBJECTIVE
To report the results and complications of scleral fixation of intraocular lens (SF-IOL) in traumatized eyes of children with iris defects and inadequate capsular support with technique customized to the condition of the eye.


METHODS
Retrospective review of pediatric eyes with a history of open globe injury and SF-IOLs. All eyes had undergone pars plana vitrectomy and lensectomy after primary repair of the laceration. Site of scleral fixation and limbal incision were selected according to the site of traumatic scar, remaining capsular support, and keratometry.


RESULTS
Ten patients with a mean age of 6.1 years were included. Mean duration of aphakia was 18.7 months. Five eyes had adequate capsular support for one haptic of the IOL. The only intraoperative complication was mild ciliary body hemorrhage. Mean follow-up was 11.8 months. Uncorrected visual acuity did not improve postoperatively in only one eye due to severe corneal astigmatism. Best-corrected visual acuity improved in 6 eyes. Mean postoperative sphere and cylinder were 1.8 and -3.05 diopters, respectively. The only postoperative complication was decentration of a sulcus-fixed haptic needing reoperation in one eye.


CONCLUSIONS
SF-IOL is a viable option for correcting traumatic aphakia and can have good results if customized to the condition of the eye.
Banaee
Touka
T
Department of Ophthalmology and Eye Research Center, Mashhad University of Medical Sciences, Khatam-al-anbia Hospital, Razavi, Iran. banaeet@mums.ac.ir
Sagheb
Setareh
S
D001036:Aphakia, Postcataract / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D015807:Eye Injuries, Penetrating / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007903:Lens Capsule, Crystalline / Q000473:pathology; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D009757:Nylons; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy
D009757:Nylons