Posterior Iris Fixated Intraocular Lens for Pediatric Traumatic Cataract

Overview

Journal Middle East Afr J Ophthalmol

Specialty Ophthalmology

Date 2016 May 11

PMID 27162456

Citations 1

Authors

V Kavitha

Preethi Balasubramanian

Mallikarjun M Heralgi

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the postoperative visual outcomes and complications of posterior iris fixated intraocular lens (IFIOL) implantation for pediatric traumatic cataract.

Methods: A retrospective clinical audit was performed of all the pediatric traumatic cataract patients who underwent lens removal and iris fixated lens implantation due to inadequate capsular support with or without corneal tear repair between January 2009 and December 2013. Data were collected and analyzed on the preoperative and postoperative visual outcomes and complications.

Results: Twenty-five children (25 eyes; 21 males and 4 females) were enrolled with the mean age of 11 ± 4.0 years. There were 72% of eyes that underwent primary cataract removal with IFIOL implantation. Twenty-eight percent of eyes underwent corneal tear repair prior to intraocular lens (IOL) implantation. Preoperative best corrected visual acuity (BCVA) was hand motion in 32% eyes, counting fingers in 24%, and perception of light in 44%. Postoperative BCVA of 0-0.2 logarithm of minimum angle of resolution was reported in the 64% of eyes. One eye developed secondary glaucoma, one eye underwent re-enclavation, and none developed retinal complications.

Conclusion: Posterior IFIOL implantation resulted in an improved visual outcome, low incidence of postoperative complications, and is a good alternative to other IOL, in the cases of pediatric traumatic cataract without adequate capsular support.

Citing Articles

Management of cataracts and ectopia lentis in children: Practice patterns of pediatric ophthalmologists in India.

Kemmanu V, Rathod P, Rao H, Muthu S, Jayadev C Indian J Ophthalmol. 2017; 65(9):818-825.

PMID: 28905824 PMC: 5621263. DOI: 10.4103/ijo.IJO_896_16.

References

Donaldson K, Gorscak J, Budenz D, Feuer W, Benz M, Forster R . Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support. J Cataract Refract Surg. 2005; 31(5):903-9. DOI: 10.1016/j.jcrs.2004.10.061. View

Price M, Price Jr F, Werner L, Berlie C, Mamalis N . Late dislocation of scleral-sutured posterior chamber intraocular lenses. J Cataract Refract Surg. 2005; 31(7):1320-6. DOI: 10.1016/j.jcrs.2004.12.060. View

Asadi R, Kheirkhah A . Long-term results of scleral fixation of posterior chamber intraocular lenses in children. Ophthalmology. 2007; 115(1):67-72. DOI: 10.1016/j.ophtha.2007.02.018. View

Hsu H, Edelstein S, Lind J . Surgical management of non-traumatic pediatric ectopia lentis: A case series and review of the literature. Saudi J Ophthalmol. 2013; 26(3):315-21. PMC: 3729358. DOI: 10.1016/j.sjopt.2012.05.001. View

Yen K, Reddy A, Weikert M, Song Y, Hamill M . Iris-fixated posterior chamber intraocular lenses in children. Am J Ophthalmol. 2008; 147(1):121-6. DOI: 10.1016/j.ajo.2008.07.038. View

Lorencova V, Rozsival P, Urminsky J . [Clinical results of the aphakia correction by means of secondary implantation of the iris-fixated anterior chamber intraocular lens]. Cesk Slov Oftalmol. 2007; 63(4):285-91. View

Gonnermann J, Klamann M, Maier A, Rjasanow J, Joussen A, Bertelmann E . Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg. 2012; 38(12):2139-43. DOI: 10.1016/j.jcrs.2012.07.035. View

Baykara M, Ozcetin H, Yilmaz S, Timucin O . Posterior iris fixation of the iris-claw intraocular lens implantation through a scleral tunnel incision. Am J Ophthalmol. 2007; 144(4):586-91. DOI: 10.1016/j.ajo.2007.06.009. View

Lifshitz T, Levy J, Klemperer I . Artisan aphakic intraocular lens in children with subluxated crystalline lenses. J Cataract Refract Surg. 2004; 30(9):1977-81. DOI: 10.1016/j.jcrs.2004.01.022. View

10.

Konradsen T, Kugelberg M, Zetterstrom C . Visual outcomes and complications in surgery for ectopia lentis in children. J Cataract Refract Surg. 2007; 33(5):819-24. DOI: 10.1016/j.jcrs.2007.01.032. View

11.

Kopel A, Carvounis P, Hamill M, Weikert M, Holz E . Iris-sutured intraocular lenses for ectopia lentis in children. J Cataract Refract Surg. 2008; 34(4):596-600. DOI: 10.1016/j.jcrs.2007.11.044. View

12.

Morrison D, Sternberg P, Donahue S . Anterior chamber intraocular lens (ACIOL) placement after pars plana lensectomy in pediatric Marfan syndrome. J AAPOS. 2005; 9(3):240-2. DOI: 10.1016/j.jaapos.2005.02.004. View