Visual outcome after lensectomy for subluxated lens in children

Abstract

PURPOSE: To describe the results of surgical treatment for subluxated lens in forty using lensectomy.METHODS: Forty patients with subluxated lens that were submitted to pars plana lensectomy from January 1990 to December 2000 were evaluated regarding systemic diagnosis, related ocular disease, age of patient at surgery, pre and post operative visual acuity and complications related to surgery. Indications for surgery were best corrected visual acuity of 20/70 or less and complications related to dislocated lens. RESULTS: Best corrected visual acuity improved in fifty seven eyes (80,3%), there was no change in visual acuity in four eyes (5,6%) and visual acuity became worse than before in one eye (2.08%). Follow up ranged from 6 to 120 months. Complications occurred in two eyes: one had post-operative retinal detachment and another had intraoperative vitreous hemorrhage. CONCLUSIONS: The results and long-term followup for these patients demonstrate that lensectomy as a closed-system for subluxated lens improves visual acuity and seems to be a safe procedure with few complications.