Endoscopic-Assisted Scleral Fixated IOL in the Management of Secondary Aphakia in Children

Purpose. to evaluate the short-term postoperative outcomes in endoscopic-assisted sclera fixation intraocular lens (iol) for the management of secondary aphakia in children. methods. this is a prospective study,whereas 40 aphakic eyes with absence of a good capsular support were implanted by endoscopy-assisted sclera fixation technique. results. no major intraoperative complications were recorded. all cases were followed up for 6 months. only transient ocular hypertension occurred in 10 (25%) eyes. lens decentration and/or tilting were clinically detected in 2 eyes (5%). ultrasonic biomicroscopic (ubm) examination revealed lens tilting in 2 (5%) of the operated eyes,despite the proper haptics positioning in the ciliary sulcus. postoperative vitreous hemorrhage was reported in 5 eyes (12.5%) in the early postoperative period and retinal detachment in one eye. a postoperative refractive astigmatism ranging from 0.75 d to 3.75 d (mean 1.7 d ± 0.79) was recorded,as compared to mean preoperative values of 2.00 d,with no statistically significant differences being recorded (p ≥ 0.05). an improvement of bcva,1-2 lines on snellen chart at the end of the follow-up period,was detected in 23 eyes (57.5%) with a mean of 0.6 ± 0.08 sd,as compared to a preoperative mean values of 0.5 ± 0.07 sd (p ≥ 0.05). conclusion. using an endoscope for transscleral suturing of intraocular lenses in aphakic pediatric eyes might be considered as being an effective technique that can reduce surgical complications,especially postoperative lens decentration. © 2016 heba a. el gendy et al.