Oftalmologia Pediátrica, Serviço de Oftalmologia, Centro Hospitalar de Lisboa Central
- Apresentado na sessão focus digital session 2 – Cataract no 3.rd World Congress of Paediatric Ophthalmology and Strabismus (WCPOS), Barcelona, Espanha, Setembro de 2015 e em sessão clínica hospitalar.
- Apresentado como poster no 6¨th World Congress Controversies in Ophthalmology (COPHy). Sorrento, Itália. Março de 2015
Purpose: To assess the clinical outcomes of pediatric patients who underwent surgical correction for atraumatic lens subluxation.
Material and Methods: Retrospective study, including six eyes of three children with bilateral lens subluxation submitted to pars plana lensectomy, anterior vitrectomy and retropupillary fixated iris-claw IOL. Surgery and follow-up were carried out by the same team.
Results: Mean age at the time of surgery was 7.19 ± 1.18 years (two children were female and one male) and follow-up time averaged 17.67 ± 5.78 months. Mean preoperative best corrected visual acuity (BCVA) was 0.14 ± 0.06 and the postoperative BCVA averaged 0.67 ± 0.05. Postoperative complications included two cases of IOL subluxation requiring second surgery. Iris depigmentation in IOL contact areas was found in one case.
Conclusion: Retropupillary iris-claw IOL implantation proved to be an option in selected cases with a satisfactory safety profile and good anatomical/functional results. The present outcomes are similar to other series with larger number of patients.