Scleral- fixated intraocular lens implantation in microspherophakia.

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dc.contributor.authorSubbiah, Sujata
dc.contributor.authorThomas, Philip A
dc.contributor.authorJesudasan, C A Nelson
dc.date.accessioned2015-01-30T10:38:09Z
dc.date.available2015-01-30T10:38:09Z
dc.date.issued2014-05
dc.description.abstractBackground: In microspherophakia, abnormal laxity of the lenticular zonules leads to development of a spherical lens and possible subluxation. We evaluated long-term results of lens removal with scleral-fi xated intraocular lens (SFIOL) implantation in microspherophakia. Materials and Methods: Case series. SF IOLs were implanted in four consecutive patients with bilateral microspherophakia (eight eyes [three with pupillary block and secondary glaucoma who underwent immediate surgery and fi ve with only subluxation who underwent elective surgery]). Post-operative best-corrected visual acuity (BCVA), intraocular pressure (IOP) and lens position were evaluated periodically from day 1 to 18 months. Results: All patients were females (mean age 28 ± 7.03 years). In group 1 eyes (three eyes that presented with pupillary block), the mean BCVA improved from 0.008 decimals (preoperative) to 0.50 decimals (fi nal post-operative visit); in group 2 eyes (the other fi ve eyes), the mean BCVA improved from 0.12 ± 0.21 decimals to 0.73 ± 0.14 decimals. The preoperative mean IOP (54.53 ± 7.33 mmHg) in group 1 eyes was signifi cantly (P = 0.03) higher than that (16 ± 4.30 mm Hg) in group 2 eyes. At fi nal post-operative visit, the mean IOP (11.67 ± 2.88 mmHg) in group 1 eyes was not signifi cantly diff erent from that in group 2 eyes (13.0 ± 3.08 mmHg). All SFIOLs were well- centred at the fi nal visit. None of the patients encountered any peroperative or postoperative complications. Conclusions: SFIOLs may be an option for surgical management of microspherophakia.en_US
dc.identifier.citationSubbiah Sujata, Thomas Philip A, Jesudasan CA Nelson. Scleral- fixated intraocular lens implantation in microspherophakia. Indian Journal of Ophthalmology. 2014 May ; 62 (5): 596-600.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/155634
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065512/en_US
dc.subjectEctopia lentisen_US
dc.subjectmicrospherophakiaen_US
dc.subjectpupillary blocken_US
dc.subjectScleral-fi xated intraocular lensesen_US
dc.titleScleral- fixated intraocular lens implantation in microspherophakia.en_US
dc.typeArticleen_US
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