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Sutured scleral-fixated IOLs can improve vision in pediatric open, closed globe injuries
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Pediatric patients with open and closed globe injuries experienced good visual acuity improvement after undergoing sutured scleral-fixated IOL implantation.
A retrospective case series included 153 eyes of 153 children who underwent sutured
scleral-fixated IOL implantation after blunt and penetrating injuries to the eyes; 95 eyes had closed globe injuries and 58 had open globe injuries.
During the follow-up period, 88.9% of eyes experienced stable vision or improvement of vision, while 11.1% of eyes experienced loss of vision of one line or more. Eyes with closed globe injuries experienced better best corrected visual acuity at all postoperative visits compared with open globe injuries. Additionally, 31 children — 18 with closed globe injuries and 13 with open globe injuries — had worse than 3/60 BCVA at final follow-up.
Young age during the time of trauma and young age during IOL implantation were independent factors for development of BCVA less than 6/60 at final follow-up. Other factors included poor preoperative BCVA, retinal detachment in the follow-up period and a history of retinal detachment before IOL implantation.
“IOL dislocation often occurs years after the initial surgery, more commonly in closed globe injuries and refixation of IOL can successfully result in maintained visual acuity,” the study authors said. “However, long-term follow-up of more than 10 years will be necessary to elucidate the true dislocation rates.” – by Robert Linnehan
Disclosures: The authors report no relevant financial disclosures.
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