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M.C. Struck; Initial Outcome of Trans–Sclerally Sutured Pediatric IOL . Invest. Ophthalmol. Vis. Sci. 2006;47(13):623.
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To describe and evaluate the postoperative results of trans–sclerally sutured intra–ocular lenses in pediatric patients in the absence of adequate capsular suport. Patients include those with Marfans syndrome.>
Postoperative results in 12 eyes with posterior chamber intraocular lenses (PCIOLs) sutured to the ciliary sulcus were reviewed. Visual results, reoperations, and complications were recorded.
Eyes were divided into Marfans syndrome, trauma, and prior congential catartact surgery. Eyes in the Marfans catagory recovered the best visual acuity, followed by trauma and then congenital cataracts. Complications included IOL capture by the iris, suture exposure.
Secondary implantation of trans–sclerally sutured IOL's should be considered in pediatric patients with the absence of adequate capsular support. Children with Marfans syndrome have remarkably impressive recovery of visual function with PCIOL implantation.
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