title: Glued intrascleral fixation of posterior chamber intraocular lens in children.
abstract: OBJECTIVE
  To evaluate the short-term results of glued intrascleral fixation of posterior chamber intraocular lens (glued IOL) in children without adequate capsular support.
  
  
  METHODS
  Noncomparative retrospective observational case series.
  
  
  METHODS
  
  
  
  METHODS
  Institutional practice.
  
  
  METHODS
  Forty-one eyes of 33 children who underwent glued IOL implantation were retrospectively evaluated. The indications were postsurgical aphakia, subluxated cataract, ectopia lentis, traumatic subluxation, and decentered IOL.
  
  
  METHODS
  Visual acuity (VA), endothelial cell changes, intraoperative and postoperative complications.
  
  
  RESULTS
  The mean age at the time of glued IOL was 10.7±3.6 years (range 5-15). The mean duration of follow-up after surgery was 17.5±8.5 months (range 12-36). The mean postoperative best spectacle-corrected visual acuity (BCVA in decimal equivalent) was 0.43±0.33 and there was significant change noted (P<0.001). Postoperatively, 20/20 and >20/60 BCVA was obtained in 17.1% and 46.3% of eyes respectively. BCVA improvement more than 1 line was seen in 22 eyes (53.6%). The mean postoperative refraction was myopic (-1.19±0.7 diopters [D]) in 19 eyes and hyperopic (+1.02±0.7 D) in 22 eyes. The mean endothelial loss was 4.13% (range 1.3%-5.94%). The 3 causes of reduced BCVA were the preexisting corneal, retinal pathology, and amblyopia. Postoperative complications included optic capture in 1 eye (2.4%), macular edema in 2 eyes (4.8%), and clinical decentration in 2 eyes (4.8%). There was no postoperative retinal detachment, IOL dislocation, endophthalmitis, or glaucoma.
  
  
  CONCLUSIONS
  Short-term results in children after glued IOL were favorable, with a low rate of complications. However, regular follow-ups are required since long-term risks are unknown.
authors.affiliation: Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
authors.forename: Dhivya Ashok
authors.initials: DA
authors.lastname: Kumar
authors.forename: Amar
authors.initials: A
authors.lastname: Agarwal
authors.forename: Dimple
authors.initials: D
authors.lastname: Prakash
authors.forename: Gaurav
authors.initials: G
authors.lastname: Prakash
authors.forename: Soosan
authors.initials: S
authors.lastname: Jacob
authors.forename: Athiya
authors.initials: A
authors.lastname: Agarwal
mesh_terms: D000293:Adolescent; D002387:Cataract Extraction; D002452:Cell Count; D002648:Child; D002675:Child, Preschool; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D057972:Posterior Eye Segment; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera; D012599:Sclerostomy; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014792:Visual Acuity / Q000502:physiology
chemical_list: D015718:Fibrin Tissue Adhesive; D006490:Hemostatics; D014014:Tissue Adhesives