What's new AAPOS 2008 - The Private Eye Clinic

Design: Noncomparative interventional case series. Twenty-five eyes of 23 children
who underwent primary (6 eyes) or secondary (19 eyes) implantation of SF-PCIOLs. All
eyes lacked adequate capsular support.
Results: The mean age of patients at the time of SF-PCIOLs was 6.7 years. The mean
duration of follow-up was 81 months. Best-corrected visual acuity improved
postoperatively in 12 eyes (48%)
by >1 Snellen line. Complications included transient intraocular hemorrhage in 13 eyes
(52%), transient choroidal effusion, late endophthalmitis, retinal detachment, and late
IOL dislocation due to breakage of polypropylene sutures after 7 to 10 years in 6 eyes
(24%).
Conclusion: Can be visually awarding in selected cases but there is a high rate of
complications.
Reviewer’s Comments: The treatment of children with aphakia is a significant challenge
to pediatric ophthalmologists. This study (from Iran) adds further information about
Sulcus fixation.
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