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Francisca Zuazo, Mario Zanolli, Felipe Valenzuela, Cristian Cartes, Olga Acuña, Hernan Iturriaga; Conservative Management Of Subluxated Lens. Invest. Ophthalmol. Vis. Sci. 2012;53(14):3888.
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© ARVO (1962-2015); The Authors (2016-present)
To report best corrected visual acuity (BCVA) in a group of patients with lens subluxation treated with spectacles, contact lenses and occlusion.
Retrospective non comparative study. Inclusion criteria: < 50 year old with diagnosis of lens subluxation treated with conservative management (phakic or aphakic correction with spectacles or contact lenses, occlusion if needed). Patient demographics, clinical characteristics and BCVA (LogMAR) were recorded. Exclusion criteria: patients with surgical management of subluxation, follow up < of 3 months, cataract, retinal detachment, pseudophakia, trauma or pseudoexfoliation syndrome. It was approved by the ethics board of our institution. Statistical analysis was performed with SPSS 16.0
29 eyes were included. 23 (79,3%) eyes had diagnosis of Marfan syndrome. 21 (72.4%) male, mean age at intervention of 12.7 ± 12.6 years old, follow up of 60 ± 58 months, 6 (20.6%) eyes with amblyopia, amount of luxation of 33.7 ± 20.1%. 12 (41.3%) were treated with contact lenses. BCVA before intervention was LogMAR 0,63 ± 0,41 and BCVA after treatment was 0,35 ± 0,31, with 2.7 ± 4.2 lines LogMAR improvement (p<0.005). There were no differences in LogMAR lines improvement when comparing patients treated with contact lenses or spectacles. Spheric Equivalent (SE) before intervention in patients corrected in phakic portion of -8,5 ±6,9 diopters and after intervention of -3,6 ± 15,2 diopters (p=0,13). SE before intervention in patients corrected in aphakic portion of 10,8 ± 3 diopters and after intervention of 9,7 ± 3,1 diopters (p=0,059).
Conclusions: BCVA improved in patients with lens subluxation treated with conservative management.
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