May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Iris-Fixated Posterior Chamber Intraocular Lenses in Children
Author Affiliations & Notes
  • A. K. Reddy
    Baylor College of Medicine, Houston, Texas
    Ophthalmology,
  • M. P. Weikert
    Baylor College of Medicine, Houston, Texas
    Ophthalmology,
  • M. B. Hamill
    Baylor College of Medicine, Houston, Texas
    Ophthalmology,
  • Y. Song
    Baylor College of Medicine, Houston, Texas
  • K. G. Yen
    Baylor College of Medicine, Houston, Texas
    Ophthalmology,
  • Footnotes
    Commercial Relationships  A.K. Reddy, None; M.P. Weikert, None; M.B. Hamill, None; Y. Song, None; K.G. Yen, None.
  • Footnotes
    Support  Research to Prevent Blindness
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 1443. doi:
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    • Get Citation

      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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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To report the short term outcomes and complications of iris-fixated posterior chamber intra-ocular lenses (PCIOLs) in the pediatric population.

Methods: : 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.

Results: : 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.

Conclusions: : 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.

Keywords: intraocular lens 
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