Results of intraocular lens implantation with capsular tension ring in subluxated crystalline or cataractous lenses in children.

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dc.contributor.authorDas, Pranab
dc.contributor.authorRam, Jagat
dc.contributor.authorBrar, Gagandeep Singh
dc.contributor.authorDogra, Mangat R
dc.date.accessioned2011-12-20T07:01:16Z
dc.date.available2011-12-20T07:01:16Z
dc.date.issued2009-11
dc.description.abstractPurpose: To evaluate the outcome of intraocular lens (IOL) implantation using capsular tension ring (CTR) in subluxated crystalline or cataractous lenses in children. Setting: Tertiary care setting Materials and Methods: We prospectively studied 18 eyes of 15 children with subluxation of crystalline or cataractous lenses between 90° up to 210° after phacoemulsification, CTR and IOL implantation. Each child was examined for IOL centration, zonular dehiscence and posterior capsular opacification (PCO). Results: Age of the patient ranged between five to 15 years. Out of 18 eyes, seven had traumatic and 11 had spontaneous subluxation of crystalline or cataractous lens. Phacoemulsification was successfully performed with CTR implantation in the capsular bag. Intraoperative zonular dialysis occurred in two eyes. Anterior vitrectomy was performed in six eyes to manage vitreous prolapse. IOL implanted was polymethyl methacrylate (PMMA) in eight eyes, hydrophobic acrylic in seven and hydrophilic acrylic in three. Follow-up ranged from 24 months to 72 months. Sixteen eyes had a best corrected visual acuity of 20/40 or better. Nine eyes developed significant PCO and were managed with Neodymium Yttrium Aluminum Garnet (Nd:YAG) laser posterior capsulotomy. One eye with acrylic IOL in the capsular bag had IOL dislocation after two years which was managed with vitrectomy and secondary trans-scleral fixation of IOL. Conclusions: Phacoaspiration with CTR implantation makes capsular bag IOL fixation possible in most of the eyes with subluxated crystalline or cataractous lenses. PCO still remains a challenge in children with successful phacoaspiration with CTR implantationen_US
dc.identifier.citationDas Pranab, Ram Jagat, Brar Gagandeep Singh, Dogra Mangat R. Results of intraocular lens implantation with capsular tension ring in subluxated crystalline or cataractous lenses in children. Indian Journal of Ophthalmology. 2009 Nov; 57(6): 431-436.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/135994
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2812761/en_US
dc.subjectCapsular tension ringen_US
dc.subjectposterior capsular opacificationen_US
dc.subjectsubluxated lensen_US
dc.subjecttraumatic cataracten_US
dc.subject.meshAdolescent
dc.subject.meshCataract --diagnosis
dc.subject.meshChild
dc.subject.meshChild, Preschool
dc.subject.meshFemale
dc.subject.meshFollow-Up Studies
dc.subject.meshHumans
dc.subject.meshLens Capsule, Crystalline --surgery
dc.subject.meshLens Implantation, Intraocular --methods
dc.subject.meshLens Subluxation --diagnosis
dc.subject.meshLens Subluxation --surgery
dc.subject.meshMale
dc.subject.meshMicroscopy, Acoustic
dc.subject.meshOphthalmoscopy
dc.subject.meshPhacoemulsification --methods
dc.subject.meshProspective Studies
dc.subject.meshProsthesis Design
dc.subject.meshTreatment Outcome
dc.titleResults of intraocular lens implantation with capsular tension ring in subluxated crystalline or cataractous lenses in children.en_US
dc.typeArticleen_US
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