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A. K. Reddy, M. P. Weikert, M. B. Hamill, Y. Song, K. G. Yen; Iris-Fixated Posterior Chamber Intraocular Lenses in Children. Invest. Ophthalmol. Vis. Sci. 2008;49(13):1443.
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To report the short term outcomes and complications of iris-fixated posterior chamber intra-ocular lenses (PCIOLs) in the pediatric population.
Retrospective observational case study of 12 consecutive pediatric patients (17 eyes) who underwent placement of foldable iris-sutured PCIOLs between September 2004 and September 2007 by two refractive surgeons at a single academic center. Outcome measures included change in visual acuity and complications.
Iris-sutured intraocular lenses were more likely to become dislocated in patients with a history of ectopia lentis due to Marfan's syndrome, hereditary, or idiopathic etiology than in patients with aphakia due to other etiologies (45% vs. 0%) in our series. Mean postoperative best corrected visual acuity improved by 0.44 (logMAR) from baseline. One eye suffered a retinal detachment.
Iris fixated intraocular lenses are an acceptable option for pediatric patients to correct aphakia, but can dislocate spontaneously. Visual outcomes are good regardless of disclocation.
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