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NR 7-9/2007
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Fiksacja
śródtwardówkowa sztucznych soczewek wewnątrzgałkowych u dzieci –
analiza odległych powikłań pooperacyjnych
Transsclerally fixated
intraocular artificial lenses in children – analysis of
long-term postoperative complications
Krystyna Kanigowska, Mirosława Grałek,
Beata Karczmarewicz
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 report
the long–term surgical complications of transscleral
sutured intraocular lens implantation in children.
Material and methods: Surgical procedure was
performed in 10 children (17 eyes) with ectopia lentis,
and in 16 children (21 eyes) with aphakia between July
1995 and December 1998. The mean age of implantation was
8.1 years ( range 4 to 17). The Lewis method ab externo
was used to suture 1–piece PMMA IOL in all cases.
Average follow–up was 9.1 years (range 8 to 11 years).
Results: After operation in long time
observations, we noted retinal detachment in 1 eye (post
trauma), suture break and IOL dislocation in 3 eyes,
suture erosion through the scleral flap in 4 eyes,
suture erosion through the flap and conjuctiva in 2 eyes,
IOL decentraction in 3 eyes, IOL tilt in 6 eyes,
glaucoma in 2 eyes, anterior uveitis in 2 eyes. Four
eyes exhibited episodes of iris capture of the IOL optic.
There were no endophthalmitis in this group of patients.
Conclusions: The analysis showed that long follow
up and complications was associated with scleral
fixation included exposure of the scleral suture and the
suture break, not with retinal detachment and
endophthalmitis. |
| Słowa kluczowe: |
fiksacja śródtwardówkowa,
szew polipropylenowy, biodegradacja szwu, dyslokacja
sztucznej soczewki. |
| Key words: |
scleral fixation,
polipropylene suture, biodegradation of the suture,
intraocular lens dislocation. |
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