Sutureless Scleral-Fixated Intraocular Lens Implantation in the Treatment of Congenital Lens Subluxation Related to Marfan Syndrome.

Abstract

PURPOSE:

To evaluate the efficacy and safety of bimanual capsulorhexis combined with sutureless scleral-fixated intraocular lens (IOL) implantation in children diagnosed as having Marfan syndrome.

METHODS:

The study included 14 eyes with subluxated lenses of 7 children who were diagnosed as having Marfan syndrome and underwent bimanual capsulorhexis combined with sutureless scleral-fixated IOL implantation by the same surgeon between 2015 and 2019 at the University of Health Sciences, Kartal Dr. Lütfi Kirdar City Hospital's Eye Department.

RESULTS:

The mean preoperative and postoperative uncorrected visual acuity was 1.47 ± 0.41 and 0.42 ± 0.15 logarithm of the minimum angle of resolution (logMAR), respectively (P = .001). The preoperative best corrected visual acuity (BCVA) ranged from 1.30 to 0.40 logMAR with a mean value of 0.81 ± 0.30 logMAR. Postoperatively, all patients had an increase in the BCVA with a mean value of 0.20 ± 0.11 logMAR, which was statistically significant (P = .001). The mean preoperative and postoperative spherical equivalent was -9.69 ± 4.59 and -0.27 ± 1.21 diopters, respectively.

CONCLUSIONS:

Despite the small number of patients in this study, good visual results and a low complication rate were obtained in patients with ectopic lens. The long-term IOL status in patients who have undergone sutureless scleral-fixated IOL implantation will make it possible to better evaluate the safety and applicability of the technique. [J Pediatr Ophthalmol Strabismus. 2021;58(6):401-406.].

• Authors: Muhammed Nurullah Bulut, Eren Göktaş, Erdi Karadağ, Kezban Bulut, Ayşe Yeşim Oral, Şaban Şimşek
• Journal: Journal of pediatric ophthalmology and strabismus (J Pediatr Ophthalmol Strabismus) 2021 Nov-Dec Vol. 58 Issue 6 Pg. 401-406 ISSN: 1938-2405 [Electronic] United States
• PMID: 34228568 (Publication Type: Journal Article)

Topics

• Child
• Ectopia Lentis (etiology, surgery)
• Humans
• Lens Implantation, Intraocular
• Lens Subluxation (etiology, surgery)
• Lenses, Intraocular
• Marfan Syndrome (complications, surgery)
• Postoperative Complications
• Retrospective Studies
• Sclera (surgery)
• Suture Techniques