Peripheral iridectomy for preventing iris-related complications in glued intraocular lens surgery in children

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dc.contributor.authorBalakrishnan, Den_US
dc.contributor.authorOli, Aen_US
dc.contributor.authorPaulose, RMen_US
dc.contributor.authorAli, Hen_US
dc.date.accessioned2020-04-10T02:07:12Z
dc.date.available2020-04-10T02:07:12Z
dc.date.issued2020-03
dc.description.abstractPurpose: To assess the role of surgical peripheral iridectomy (PI) in preventing iris-related complications associated with glued intraocular lens (GIOL) surgery in children with bilateral ectopia lentis. Methods: Nonrandomized interventional case series of 34 eyes of 17 children (<15 years of age) who underwent pars plana lensectomy (PPL) and GIOL surgery between January 2013 and December 2016. Eyes with surgical PI (January 2013–June 2015) were compared with those without surgical PI (July 2015–December 2016). The primary outcome measure of the role of surgical PI in GIOL surgery was to account for complications such as optic capture, secondary glaucoma, intraocular lens (IOL) dislocation, or repeat surgery. The secondary outcomes were changes in the best-corrected visual acuity (BCVA). Results: The mean age at surgery was 8.8 years (range: 3.5–15 years). Surgical PI was conducted in 15 eyes. Among the 19 eyes without PI, 9 eyes had complications (optic capture –6; rise in IOP –4; IOL subluxation –4; repeat surgery –5). The complications were significantly less in the PI group, P = 0.02. There was a statistically significant improvement in BCVA (P = 0.0001) in all the patients. The mean presenting BCVA was 0.99 (±0.79) logMAR (Snellen ? 20/200) and post BCVA was 0.40 (±0.50) (Snellen ? 20/50). The mean preoperative refraction was ? 9 D (±8D) (range: ?5 D to ?23D) and postoperative was ?1 (±1.15) D. The mean follow-up was 25.4 months. Conclusion: Surgical PI along with GIOL surgery in children undergoing PPL is shown to reduce optic-capture-related complications.en_US
dc.identifier.affiliationsSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsDepartment of Biostatistics, L V Prasad Eye Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.citationBalakrishnan D, Oli A, Paulose RM, Ali H. Peripheral iridectomy for preventing iris-related complications in glued intraocular lens surgery in children. Indian Journal of Ophthalmology. 2020 Mar; 68(3): 466-470en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/197829
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber3en_US
dc.relation.volume68en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_1120_19en_US
dc.subjectEctopia lentisen_US
dc.subjectglued intraocular lensen_US
dc.subjectlensectomyen_US
dc.subjectoptic captureen_US
dc.subjectperipheral iridectomyen_US
dc.subjectrise in intraocular pressureen_US
dc.subjectsubluxationen_US
dc.subjectsurgical complicationsen_US
dc.titlePeripheral iridectomy for preventing iris-related complications in glued intraocular lens surgery in childrenen_US
dc.typeJournal Articleen_US
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