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NR 7-9/2005
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Ocena wyników
czynnościowych po leczeniu operacyjnym przemieszczonej soczewki
u dzieci
The estimation of functional
results after surgical treatment for ectopia lentis in children
Krystyna Kanigowska, Mirosława Grałek,
Dorota Klimczak-Ślączka
Z Kliniki Okulistyki Instytutu „Pomnika - Centrum Zdrowia
Dziecka’’ w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose: To review
the visual outcome of planned pars plana lensectomy and
vitrectomy with posterior chamber intraocular lens
implantation for ectopia lentis in children.
Material and methods: Between 1997-2002, 116 eyes
were operated because of lens subluxation, mainly
because of decreased visual acuity (<0.4). Lens
subluxation was associated with homocystinuria in 4
patients (8 eyes), Marfan's syndrome in 30 (54 eyes),
congenital simple ectopia lentis in 16 (31 eyes), post
trauma in 6 (6 eyes), and congenital ectopia lentis and
pupillae in 9 (17 eyes). Time of observation ranged
between 1 to 6 years (mean 3.4).
Results: After surgery, we achieved
best-corrected visual acuity improvement in 89%.
Unsatisfactory visual results were due to amblyopia (9
eyes), complications of retinal detachement surgery (3
eyes), uveitis (2 eyes), glaucoma (1 eye).
Conclusions: Pars plana lensectomy, vitrectomy
and scleral-fixated IOL implantation give quick and good
functional results. To achieve these results, visual
rehabilitation and amblyopia treatment is necessary. |
| Słowa kluczowe: |
przemieszczenie soczewki,
fiksacja śródtwardówkowa soczewki tylnokomorowej,
dzieci, ostrość wzroku, niedowidzenie. |
| Key words: |
ectopia lentis,
transscleral fixation of posterior chamber lenses,
children, visual acuity, amblyopia. |
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