Endoscopic-Assisted Scleral Fixated IOL in the Management of Secondary Aphakia in Children
Joint Authors
Khalil, Hossam El Din Mohamed
El Gendy, Heba A.
Haroun, Hazem Effat
El Deeb, Mohamed Wagieh
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
To evaluate the short-term postoperative outcomes in endoscopic-assisted sclera fixation intraocular lens (IOL) for the management of secondary aphakia in children.
Methods.
This is a prospective study, whereas 40 aphakic eyes with absence of a good capsular support were implanted by endoscopy-assisted sclera fixation technique.
Results.
No major intraoperative complications were recorded.
All cases were followed up for 6 months.
Only transient ocular hypertension occurred in 10 (25%) eyes.
Lens decentration and/or tilting were clinically detected in 2 eyes (5%).
Ultrasonic biomicroscopic (UBM) examination revealed lens tilting in 2 (5%) of the operated eyes, despite the proper haptics positioning in the ciliary sulcus.
Postoperative vitreous hemorrhage was reported in 5 eyes (12.5%) in the early postoperative period and retinal detachment in one eye.
A postoperative refractive astigmatism ranging from 0.75 D to 3.75 D (mean 1.7 D ± 0.79) was recorded, as compared to mean preoperative values of 2.00 D, with no statistically significant differences being recorded ( p ≥ 0.05 ).
An improvement of BCVA, 1-2 lines on Snellen chart at the end of the follow-up period, was detected in 23 eyes (57.5%) with a mean of 0.6 ± 0.08 SD, as compared to a preoperative mean values of 0.5 ± 0.07 SD ( p ≥ 0.05 ).
Conclusion.
Using an endoscope for transscleral suturing of intraocular lenses in aphakic pediatric eyes might be considered as being an effective technique that can reduce surgical complications, especially postoperative lens decentration.
American Psychological Association (APA)
El Gendy, Heba A.& Khalil, Hossam El Din Mohamed& Haroun, Hazem Effat& El Deeb, Mohamed Wagieh. 2016. Endoscopic-Assisted Scleral Fixated IOL in the Management of Secondary Aphakia in Children. Journal of Ophthalmology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1110098
Modern Language Association (MLA)
El Gendy, Heba A.…[et al.]. Endoscopic-Assisted Scleral Fixated IOL in the Management of Secondary Aphakia in Children. Journal of Ophthalmology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1110098
American Medical Association (AMA)
El Gendy, Heba A.& Khalil, Hossam El Din Mohamed& Haroun, Hazem Effat& El Deeb, Mohamed Wagieh. Endoscopic-Assisted Scleral Fixated IOL in the Management of Secondary Aphakia in Children. Journal of Ophthalmology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1110098
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1110098