Visual outcome and complications in Ab-externo sclera fixation IOL in aphakia in pediatric age group. | [Pakistan Journal of Medical Sciences • 2013]

Author(s):

1. Israr Ahmed Bhutto: Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Gadap Town, Malir, Karachi, Pakistan

2. Ghulam Qadir Kazi: Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Gadap Town, Malir, Karachi, Pakistan

3. P. S Mahar: Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Gadap Town, Malir, Karachi, Pakistan

4. Umair Ahmed Qidwai: Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Gadap Town, Malir, Karachi, Pakistan

Abstract:

Objective: To assess the visual outcome and complications in patients after Ab-externo scleral fixation of intraocular lens in pediatric age group (15 years or less). Methods: This quasi experimental study was conducted at Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, from January 2012 to December 2012. All cases included were worked up according to the protocol. All patients underwent Ab-externo scleral fixation of IOL under general anesthesia. Patients were followed up at 1stday, 1stweek, 1stmonth, 2ndmonth and 3rdmonth. Complete eye examination including best-corrected visual acuity and complications were noted on each visit. Results: Thirty patients were included in the study, with mean age of 8.6 years (±3.93569). Most of the patients, 20 (66.7%), had visual acuities of 6/18 or better. No complication was seen in 18 (60%) of the patients intra operatively while soft eye was observed in 7 (23.3%) of the patients. Another complication noted was vitreous hemorrhage, which was seen in 5 (16.7%) patients. Most common post-operative complication was Uveitis followed by astigmatism. Lens dislocation and iris abnormalities were seen in only one patient. Most of the patients showed significant visual improvement after surgery. Conclusion: Ab-externo scleral fixation of an IOL was found to be safe and showed favorable postoperative results with fewer complications.

Page(s): 947-950

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 29, Issue: 4, Year: 2013

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