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Capsule-sparing procedure has effective results in complex pediatric eyes
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SAN FRANCISCO — Phacoemulsification with in-the-bag implantation of a scleral-sutured modified capsular tension ring and an IOL is a practical procedure that preserves capsular and anterior hyaloid anatomy and avoids unnecessary vitrectomy, according to a physician here.
"It is a better choice in the pediatric demographic, which is prone to blunt trauma," Mauricio A. Perez, MD, said at the American Society of Cataract and Refractive Surgery meeting.
Mauricio A. Perez
The retrospective case series included 28 eyes of 18 patients with congenital lens subluxation who underwent phacoemulsification and in-the-bag implantation of a modified scleral-sutured capsular tension ring and IOL by the same surgeon.
Patient age ranged from 14 months to 18 years.
Centration was attained in all eyes without requiring repositioning.
LogMAR uncorrected visual acuity improved from 0.84 to 0.39, and logMAR best corrected visual acuity improved from 0.63 to 0.29.
Vitrectomies were performed in eight cases in which vitreous was present in the anterior chamber preoperatively; however, no unplanned vitrectomies were required, Perez said.
Disclosure: Perez is a consultant for Alcon, HumanOptics, MST and Haag-Streit.