title: Visual outcome and complications in Ab-externo scleral fixation IOL in aphakia in pediatric age group.
abstract: OBJECTIVE
  To assess the visual outcome and complications in patients after Ab-externo scleral fixation of intraocular lens in pediatric age group (15 years or less).
  
  
  METHODS
  This quasi experimental study was conducted at Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, from January 2012 to December 2012. All cases included were worked up according to the protocol. All patients underwent Ab-externo scleral fixation of IOL under general anesthesia. Patients were followed up at 1(st)day, 1(st)week, 1(st)month, 2(nd)month and 3(rd)month. Complete eye examination including best-corrected visual acuity and complications were noted on each visit.
  
  
  RESULTS
  Thirty patients were included in the study, with mean age of 8.6 years (±3.93569). Most of the patients, 20 (66.7%), had visual acuities of 6/18 or better. No complication was seen in 18 (60%) of the patients intra operatively while soft eye was observed in 7 (23.3%) of the patients. Another complication noted was vitreous hemorrhage, which was seen in 5 (16.7%) patients. Most common post-operative complication was Uveitis followed by astigmatism. Lens dislocation and iris abnormalities were seen in only one patient. Most of the patients showed significant visual improvement after surgery.
  
  
  CONCLUSIONS
  Ab-externo scleral fixation of an IOL was found to be safe and showed favorable postoperative results with fewer complications.
authors.affiliation: Dr. Isra Ahmed Bhutto, FCPS, Assistant Professor, Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, Pakistan.
authors.forename: Isra
authors.initials: I
authors.lastname: Ahmed Bhutto
authors.affiliation: Prof. Ghulam Qadir Kazi, FRCS, Professor, Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, Pakistan.
authors.forename: Ghulam
authors.initials: G
authors.lastname: Qadir Kazi
authors.affiliation: Prof. P.S Mahar, FRCS, FRC Ophth, Professor, Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, Pakistan.
authors.forename: P S
authors.initials: PS
authors.lastname: Mahar
authors.affiliation: Dr. Umair Ahmed Qidwai, FCPS, Senior Registrar, Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, Pakistan.
authors.forename: Umair
authors.initials: U
authors.lastname: Ahmed Qidwai
keywords: Astigmatism; Complication; Scleral fixation