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Limbal Lensectomy in the Management of Ectopia Lentis in Children

Limbal Lensectomy in the Management of Ectopia Lentis in Children Abstract • Surgical treatment of ectopia lentis has traditionally been associated with a poor visual outcome and a high complication rate. We treated a series of nine children (15 eyes) whose visual acuity could not be improved with optimal optical phakic or aphakic correction with limbal lensectomy. Preoperative visual acuity after amblyopia treatment ranged from 20/60 to 20/200. Improvement in postoperative visual acuity was documented in all operated-on eyes, ranging from 20/20 to 20/50 during a follow-up period ranging from 8 months to 118 months (median, 33 months). The only complication was a child who developed a secondary membrane requiring a neodymium-YAG capsulotomy. References 1. Varga B. The results of my operations improving visual acuity of ectopia lentis . Ophthalmologica . 1971;162:98-110.Crossref 2. Jarrett WH. Dislocation of the lens . Arch Ophthalmol . 1967;78:289-96.Crossref 3. Jensen AD, Cross HE. Surgical treatment of dislocated lenses in the Marfan syndrome and homocystinuria . Trans Am Acad Ophthalmol Otolaryngol . 1972;76:1491-1499. 4. Maumenee IH. The eye in the Marfan syndrome . Trans Am Ophthalmol Soc . 1981;79:684-733. 5. Barraquer J. Surgery of the dislocated lens . Trans Am Acad Ophthalmol Otolaryngol . 1972;76:44-59. 6. Peyman GA, Raichand M, Goldberg MF, Ritacca D. Management of subluxated and dislocated lenses with vitrophage . Br J Ophthalmol . 1979;63:771-778.Crossref 7. Syrdalen P. Pars plana technique for removal of congenital subluxated lenses in young patients . Acta Ophthalmol (Copenh) . 1987;65:585-588.Crossref 8. Seetner AA, Crawford JS. Surgical correction of lens dislocation in children . Am J Ophthalmol . 1981;91:106-110. 9. Reese PD, Weingeist TA. Pars plana management of ectopia lentis in children . Arch Ophthalmol . 1987;105:1202-1204.Crossref 10. Nelson LB, Maumenee IH. Ectopia lentis . Surv Ophthalmol . 1982;27:143-160.Crossref 11. Nelson LB, Szmyd SM. Aphakic correction in ectopia lentis . Ann Ophthalmol . 1985;17:445-447. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Limbal Lensectomy in the Management of Ectopia Lentis in Children

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Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1990.01070080051034
Publisher site
See Article on Publisher Site

Abstract

Abstract • Surgical treatment of ectopia lentis has traditionally been associated with a poor visual outcome and a high complication rate. We treated a series of nine children (15 eyes) whose visual acuity could not be improved with optimal optical phakic or aphakic correction with limbal lensectomy. Preoperative visual acuity after amblyopia treatment ranged from 20/60 to 20/200. Improvement in postoperative visual acuity was documented in all operated-on eyes, ranging from 20/20 to 20/50 during a follow-up period ranging from 8 months to 118 months (median, 33 months). The only complication was a child who developed a secondary membrane requiring a neodymium-YAG capsulotomy. References 1. Varga B. The results of my operations improving visual acuity of ectopia lentis . Ophthalmologica . 1971;162:98-110.Crossref 2. Jarrett WH. Dislocation of the lens . Arch Ophthalmol . 1967;78:289-96.Crossref 3. Jensen AD, Cross HE. Surgical treatment of dislocated lenses in the Marfan syndrome and homocystinuria . Trans Am Acad Ophthalmol Otolaryngol . 1972;76:1491-1499. 4. Maumenee IH. The eye in the Marfan syndrome . Trans Am Ophthalmol Soc . 1981;79:684-733. 5. Barraquer J. Surgery of the dislocated lens . Trans Am Acad Ophthalmol Otolaryngol . 1972;76:44-59. 6. Peyman GA, Raichand M, Goldberg MF, Ritacca D. Management of subluxated and dislocated lenses with vitrophage . Br J Ophthalmol . 1979;63:771-778.Crossref 7. Syrdalen P. Pars plana technique for removal of congenital subluxated lenses in young patients . Acta Ophthalmol (Copenh) . 1987;65:585-588.Crossref 8. Seetner AA, Crawford JS. Surgical correction of lens dislocation in children . Am J Ophthalmol . 1981;91:106-110. 9. Reese PD, Weingeist TA. Pars plana management of ectopia lentis in children . Arch Ophthalmol . 1987;105:1202-1204.Crossref 10. Nelson LB, Maumenee IH. Ectopia lentis . Surv Ophthalmol . 1982;27:143-160.Crossref 11. Nelson LB, Szmyd SM. Aphakic correction in ectopia lentis . Ann Ophthalmol . 1985;17:445-447.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1990

References