Scleral suspension pars-plana lensectomy for ectopia lentis followed by suture fixation of intraocular lens.
Indian J Ophthalmol
;
2001 Jun; 49(2): 109-13
Article
in English
| IMSEAR
| ID: sea-71829
ABSTRACT
PURPOSE:
To describe a simple technique of scleral suspension-pars plana lensectomy (SS-PPL) in acquired and congenital ectopia lentis and scleral fixation of intraocular lens (IOL). MATERIALS ANDMETHODS:
Twenty eyes of 16 patients (12 unilateral and 4 bilateral cases of "essential familial lens subluxation") aged 10-40 years (mean 25 years) underwent SS-PPL with implantation of scleral fixated IOL. Indications for surgery were best-corrected visual acuity < 6/18, bisection of pupil by the lens, and lens-induced glaucoma. Prerequisites for SS-PPL were, visibility of part of the lens in the pupillary area and soft lens.RESULTS:
Postoperative visual acuity ranged from 6/6 - 6/36. Lens tilt in 3 cases(15%) and small decentration in 2 cases(10%) were seen; however these did not seriously compromise the visual result. Scant vitreous bleeding on the first postoperative day was seen in 3 cases (15%).CONCLUSION:
The advantages of the scleral suspension of subluxated lens prior to lensectomy include stabilization; it allows proper viewing of the lens, avoids injury to the iris and ciliary body during lensectomy and reduces the possibility of dislocation of the lens.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Postoperative Complications
/
Sclera
/
Female
/
Humans
/
Male
/
Child
/
Ectopia Lentis
/
Choroid
/
Suture Techniques
/
Adolescent
Language:
English
Journal:
Indian J Ophthalmol
Year:
2001
Type:
Article
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