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NR 7-9/2005
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Leczenie operacyjne
przemieszczonej soczewki u dzieci – analiza powikłań
Surgical treatment of lens
dislocation in children – analysis of complications
Krystyna Kanigowska, Mirosława Grałek,
Barbara Chipczyńska
Z Kliniki Okulistyki Instytutu „Pomnik - Centrum Zdrowia
Dziecka” w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose: To present
the surgical complications in eyes with ectopia lentis
in children.
Material and methods: 116 eyes of 65 children
were operatively treated for lens dislocation. Pars
plana lensectomy, vitrectomy and IOL implantation with
scleral fixation were done in all eyes. Time of
observation ranged between
1-6 years (mean 3.4).
Results: There were no serious intraoperative
complication (mainly hemorrhage to anterior and
posterior chamber). Postoperative complications included
retinal detachement in 3 (2.6%) eyes and endophthalmitis
in 1 (0.8%) eye, were the major complications observed
in all patients. Complications related to scleral
fixation included exposure of the scleral fixation
suture in 8 (6.9%) eyes, lens decentration in 9
(7.8%)eyes, pupil capture in 3 (2.6%).
Conclusions: The surgical procedure is useful and
safe in the management of subluxated lenses in children. |
| Słowa kluczowe: |
przemieszczenie soczewki,
dzieci, pars plana lensektomia i witrektomia, fiksacja
śródtwardówkowa sztucznej soczewki wewnątrzgałkowej,
powikłania śródoperacyjne i pooperacyjne. |
| Key words: |
ectopia lentis, children,
pars plana lentsectomy and vitrectomy, trans-scleral
fixation of intraocular lens implant, intraoperative and
postoperartive complications. |
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