Outcome of Sutured Scleral-Fixated Intraocular Lens in Blunt and Penetrating Trauma in Children.
Ophthalmic Surg Lasers Imaging Retina
; 49(10): 757-764, 2018 10 01.
Article
in En
| MEDLINE
| ID: mdl-30395661
ABSTRACT
BACKGROUND AND OBJECTIVE:
To determine the anatomical and functional outcomes of sutured scleral-fixated intraocular lens (SSFIOL) implantation in children with blunt and penetrating injuries to the eye. PATIENTS ANDMETHODS:
This is a retrospective, interventional case series study. Case records of children who underwent SSFIOL implantation in a tertiary eye care facility for traumatic aphakia, cataract, or subluxation were screened. Relevant data on demographics, visual acuity (VA) outcomes, and complications and their management were collected. Results for blunt and penetrating trauma were compared.RESULTS:
There was stability or improvement of vision in 88.9% of eyes during the follow-up period. Young age at time of trauma (P = .031) and SSFIOL implantation (P = .002), history of retinal detachment (RD) before SSFIOL implantation (P = .019), poor preoperative best-corrected VA (BCVA) (P = .004), and development of RD in the follow-up period (P = .046) were independent risk factors for low final BCVA on univariate regression analysis. RD rate was 6.53% and was comparable in open and closed globe injuries. Intraocular lens (IOL) dislocation rate was 3.9%, and probability of survival was higher for open globe (0.78) as compared to closed globe (0.64) injuries (P = .042).CONCLUSIONS:
SSFIOL implantation results in good VA improvement in both open and closed globe injuries. RD remains an important vision-threatening complication. IOL dislocation is more likely to occur in closed globe injuries. A prospective study evaluating the outcomes would better elucidate the role of these IOLs. [Ophthalmic Surg Lasers Imaging Retina. 2018;49757-764.].
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sclera
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Wounds, Nonpenetrating
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Wounds, Penetrating
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Eye Injuries
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Suture Techniques
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Lens Implantation, Intraocular
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Lens, Crystalline
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
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Female
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Humans
/
Male
Language:
En
Journal:
Ophthalmic Surg Lasers Imaging Retina
Year:
2018
Document type:
Article