Dr.Parul Chawla Gupta

Dr.Jagat Ram, Dr.Surbhi Khurana

Abstract

Aim: To evaluate the various causes, clinical features, and surgical outcomes in children with subluxated lens.

Methods: Patients underwent phacoaspiration assisted with Cionni-ring/Capsular tension segment with/without intraocular lens (IOL) implantation; or lensentomy with trans-scleral fixated IOL (TSFIOL). Preoperative and postoperative best-corrected visual acuity was compared, and causes of subluxation, postoperative complications and secondary procedures were analyzed.

Results: 60 eyes of 30 children, with mean age 8.3 years (range 3-16 years) were included. The most common cause of subluxation was idiopathic, seen in 19 patients (63.3%). Phacoaspiration was assisted with Cionni-ring in 27 eyes (45.8%), CTS in 5 eyes (8.5%), and Lensectomy with TSFIOL in 21 eyes (35.6%). There was an improvement in visual acuity postoperatively.

Conclusion: Ocular surgery led to improvement in visual acuity in such cases with very few complications.