医学
无晶状体
视力
眼科
固定(群体遗传学)
前房积血
回顾性队列研究
外科
并发症
人口
环境卫生
作者
V. Rajesh Prabu,Smita Kapoor,Swarna Udayakumar,Priyanka Gupta
出处
期刊:Journal of Pediatric Ophthalmology & Strabismus
[SLACK, Inc.]
日期:2017-07-28
卷期号:54 (6): 381-386
被引量:3
标识
DOI:10.3928/01913913-20170703-10
摘要
Purpose: To evaluate the visual outcomes and complications after sutureless, flapless, and glueless intrascleral fixation of a posterior chamber intraocular lens (IOL) in patients between the ages of 5 and 20 years. Methods: Children with gross subluxated lenses and aphakia following intracapsular cataract extraction with inadequate posterior capsular support underwent intrascleral fixation of a standard three-piece posterior chamber IOL without sutures, flaps, or glue. A retrospective study of 15 eyes of 11 patients with a mean follow-up period of 6 months was performed. The main outcome measures were improvement in visual acuity (best corrected [BCVA] and uncorrected [UCVA]) and early and late postoperative complications. Results: Preoperative to postoperative mean UCVA changed from 1.34 ± 0.35 to 0.36 ± 0.18 logarithm of the minimum angle of resolution (logMAR), respectively ( P < .001). Preoperative to postoperative mean BCVA changed from 0.69 ± 0.37 to 0.19 ± 0.19 logMAR, respectively ( P < .001). Two patients showed early postoperative complications within 1 week. One patient presented with vitreous hemorrhage and the other with hyphema on postoperative day 1. Both patients were treated conservatively and recovered by the first follow-up visit. None of the patients showed late postoperative complications during the 6-month follow-up period. The final visual outcome between the complication (n = 2) and no complication (n = 13) groups showed no statistically significant difference ( P = .91). The final visual outcome between the eyes with primary and secondary implantation was similar with no statistically significant difference ( P = .857). Conclusions: The technique of flapless, glueless, and sutureless scleral fixation of a three-piece IOL has shown significant improvement in visual acuity and does not cause significant complications postoperatively. [ J Pediatr Ophthalmol Strabismus . 2017;54(6):381–386.]
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