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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2017  |  Volume : 24  |  Issue : 4  |  Page : 167-170

Outcomes of scleral-fixated intraocular-lens in children with idiopathic ectopia lentis

1 Department of Ophthalmology, King Faisal University, Al Ahsa, Kingdom of Saudi Arabia
2 Department of Ophthalmology, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
3 Division of Pediatric Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Kingdom of Saudi Arabia
4 Department of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia

Correspondence Address:
Abdulaziz I Al Somali
Department of Ophthalmology, King Faisal University, P.O. Box 400, Al Ahsa 31982
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/meajo.MEAJO_105_16

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PURPOSE: The purpose of the study was to review the safety and stability of scleral-fixated intraocular lens (IOL) 2 years after implantation in children with idiopathic ectopia lentis (EL). METHODS: This retrospective case series enrolled children with EL managed between 2011 and 2015 at a tertiary eye hospital in the eastern of Saudi Arabia. Data were collected on age, gender, vision, isolated or syndromic pathology, intraoperative and postoperative complications, spherical equivalent refraction, and final best-corrected visual acuity (BCVA). RESULTS: The series included 18 eyes of 11 children with EL (6 males and 5 females). There were 7 bilateral and 4 unilateral cases. The median age was 3.5 years (25% quartile 1 year; range: 1–8 years). Preoperatively, fixation was absent in 3 eyes, 8 eyes were fixating but vision could not be recorded. In the remaining seven eyes, median distant visual acuity was 0.1 (25% quartile: 0.08). The median postoperative follow-up was 24 months (25% quartile, 7 months). Complications included two eyes with iris capture and one eye with lens subluxation requiring re-implantation. Postoperative BCVA was better than 20/60 in 15 (83%) eyes. At last follow-up, 6 eyes required myopic correction, 1 eye was emmetropic, and 11 eyes were hypermetropic. One eye with glaucoma was managed medically. CONCLUSION: Scleral fixated IOL in eyes of young children with EL had good visual outcomes and high stability. However, there is a high incidence of residual refractive error.

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