Visual rehabilitation by scleral fixation of posterior chamber intraocular lenses in Omani children with aphakia

Anuradha Ganesh, Sana Al-Zuhaibi, Sandip Mitra, Buthaina I. Saad Sabt, Shyam S. Ganguly, Alexander A. Bialasiewicz

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

■ BACKGROUND AND OBJECTIVE: To report indications and outcomes of scleral-fixated posterior chamber intraocular lenses (PC IOLs) in Omani children with aphakia. ■ PATIENTS AND METHODS: Patients with aphakia who were younger than 16 years, unsuitable for spectacle or contact lens correction, and without capsular support underwent an anterior vitrectomy and 10-0 polypropylene inside-out scleral fixation of a PC IOL. ■ RESULTS: Scleral-fixated PC IOLs were implanted in 28 eyes of 24 patients. Group A comprised 10 (36%) eyes with congenital cataract and 3 (11%) eyes with ectopia lentis and group B comprised 15 (53%) eyes with traumatic cataract. The mean age at implantation was higher in group A (10.5 years) than in group B (7.3 years). Visual acuity improved in 17 of 28 (61%) eyes and remained at the preoperative levels in 11 of 28 (39%) eyes. Mean postoperative refraction was within ± 2.0 diopters of the predicted refraction in 19 of 28 (68%) eyes. Complications included temporary intraocular pressure increase, vitreous hemorrhage, and iris capture with lens malposition. ■ CONCLUSION: Scleral-fixated PC IOLs are beneficial for children with aphakia without posterior capsular support who are lacking other means for visual rehabilitation. Patients with traumatic cataract and lens dislocation are more likely to experience an improvement in visual acuity postoperatively than patients with congenital cataract. However, this procedure is technically more difficult than routine PC IOL implantation and potentially carries greater risks.

Original languageEnglish
Pages (from-to)354-360
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging
Volume40
Issue number4
DOIs
Publication statusPublished - Jul 2009

Fingerprint

Aphakia
Intraocular Lenses
Rehabilitation
Cataract
Visual Acuity
Ectopia Lentis
Lens Subluxation
Vitreous Hemorrhage
Intraocular Lens Implantation
Polypropylenes
Contact Lenses
Vitrectomy
Iris
Intraocular Pressure
Lenses

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Visual rehabilitation by scleral fixation of posterior chamber intraocular lenses in Omani children with aphakia. / Ganesh, Anuradha; Al-Zuhaibi, Sana; Mitra, Sandip; Saad Sabt, Buthaina I.; Ganguly, Shyam S.; Bialasiewicz, Alexander A.

In: Ophthalmic Surgery Lasers and Imaging, Vol. 40, No. 4, 07.2009, p. 354-360.

Research output: Contribution to journalArticle

@article{40cef9e1362d4fa5af0fe1dae122c59a,
title = "Visual rehabilitation by scleral fixation of posterior chamber intraocular lenses in Omani children with aphakia",
abstract = "■ BACKGROUND AND OBJECTIVE: To report indications and outcomes of scleral-fixated posterior chamber intraocular lenses (PC IOLs) in Omani children with aphakia. ■ PATIENTS AND METHODS: Patients with aphakia who were younger than 16 years, unsuitable for spectacle or contact lens correction, and without capsular support underwent an anterior vitrectomy and 10-0 polypropylene inside-out scleral fixation of a PC IOL. ■ RESULTS: Scleral-fixated PC IOLs were implanted in 28 eyes of 24 patients. Group A comprised 10 (36{\%}) eyes with congenital cataract and 3 (11{\%}) eyes with ectopia lentis and group B comprised 15 (53{\%}) eyes with traumatic cataract. The mean age at implantation was higher in group A (10.5 years) than in group B (7.3 years). Visual acuity improved in 17 of 28 (61{\%}) eyes and remained at the preoperative levels in 11 of 28 (39{\%}) eyes. Mean postoperative refraction was within ± 2.0 diopters of the predicted refraction in 19 of 28 (68{\%}) eyes. Complications included temporary intraocular pressure increase, vitreous hemorrhage, and iris capture with lens malposition. ■ CONCLUSION: Scleral-fixated PC IOLs are beneficial for children with aphakia without posterior capsular support who are lacking other means for visual rehabilitation. Patients with traumatic cataract and lens dislocation are more likely to experience an improvement in visual acuity postoperatively than patients with congenital cataract. However, this procedure is technically more difficult than routine PC IOL implantation and potentially carries greater risks.",
author = "Anuradha Ganesh and Sana Al-Zuhaibi and Sandip Mitra and {Saad Sabt}, {Buthaina I.} and Ganguly, {Shyam S.} and Bialasiewicz, {Alexander A.}",
year = "2009",
month = "7",
doi = "10.3928/15428877-20096030-01",
language = "English",
volume = "40",
pages = "354--360",
journal = "Ophthalmic Surgery Lasers and Imaging Retina",
issn = "2325-8160",
publisher = "Slack Incorporated",
number = "4",

}

TY - JOUR

T1 - Visual rehabilitation by scleral fixation of posterior chamber intraocular lenses in Omani children with aphakia

AU - Ganesh, Anuradha

AU - Al-Zuhaibi, Sana

AU - Mitra, Sandip

AU - Saad Sabt, Buthaina I.

AU - Ganguly, Shyam S.

AU - Bialasiewicz, Alexander A.

PY - 2009/7

Y1 - 2009/7

N2 - ■ BACKGROUND AND OBJECTIVE: To report indications and outcomes of scleral-fixated posterior chamber intraocular lenses (PC IOLs) in Omani children with aphakia. ■ PATIENTS AND METHODS: Patients with aphakia who were younger than 16 years, unsuitable for spectacle or contact lens correction, and without capsular support underwent an anterior vitrectomy and 10-0 polypropylene inside-out scleral fixation of a PC IOL. ■ RESULTS: Scleral-fixated PC IOLs were implanted in 28 eyes of 24 patients. Group A comprised 10 (36%) eyes with congenital cataract and 3 (11%) eyes with ectopia lentis and group B comprised 15 (53%) eyes with traumatic cataract. The mean age at implantation was higher in group A (10.5 years) than in group B (7.3 years). Visual acuity improved in 17 of 28 (61%) eyes and remained at the preoperative levels in 11 of 28 (39%) eyes. Mean postoperative refraction was within ± 2.0 diopters of the predicted refraction in 19 of 28 (68%) eyes. Complications included temporary intraocular pressure increase, vitreous hemorrhage, and iris capture with lens malposition. ■ CONCLUSION: Scleral-fixated PC IOLs are beneficial for children with aphakia without posterior capsular support who are lacking other means for visual rehabilitation. Patients with traumatic cataract and lens dislocation are more likely to experience an improvement in visual acuity postoperatively than patients with congenital cataract. However, this procedure is technically more difficult than routine PC IOL implantation and potentially carries greater risks.

AB - ■ BACKGROUND AND OBJECTIVE: To report indications and outcomes of scleral-fixated posterior chamber intraocular lenses (PC IOLs) in Omani children with aphakia. ■ PATIENTS AND METHODS: Patients with aphakia who were younger than 16 years, unsuitable for spectacle or contact lens correction, and without capsular support underwent an anterior vitrectomy and 10-0 polypropylene inside-out scleral fixation of a PC IOL. ■ RESULTS: Scleral-fixated PC IOLs were implanted in 28 eyes of 24 patients. Group A comprised 10 (36%) eyes with congenital cataract and 3 (11%) eyes with ectopia lentis and group B comprised 15 (53%) eyes with traumatic cataract. The mean age at implantation was higher in group A (10.5 years) than in group B (7.3 years). Visual acuity improved in 17 of 28 (61%) eyes and remained at the preoperative levels in 11 of 28 (39%) eyes. Mean postoperative refraction was within ± 2.0 diopters of the predicted refraction in 19 of 28 (68%) eyes. Complications included temporary intraocular pressure increase, vitreous hemorrhage, and iris capture with lens malposition. ■ CONCLUSION: Scleral-fixated PC IOLs are beneficial for children with aphakia without posterior capsular support who are lacking other means for visual rehabilitation. Patients with traumatic cataract and lens dislocation are more likely to experience an improvement in visual acuity postoperatively than patients with congenital cataract. However, this procedure is technically more difficult than routine PC IOL implantation and potentially carries greater risks.

UR - http://www.scopus.com/inward/record.url?scp=70149112632&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70149112632&partnerID=8YFLogxK

U2 - 10.3928/15428877-20096030-01

DO - 10.3928/15428877-20096030-01

M3 - Article

VL - 40

SP - 354

EP - 360

JO - Ophthalmic Surgery Lasers and Imaging Retina

JF - Ophthalmic Surgery Lasers and Imaging Retina

SN - 2325-8160

IS - 4

ER -