A modified-simple technique of subluxated lens extraction in children
Journal Title: Eye Science (Yanke Xuebao) - Year 2023, Vol 38, Issue 2
Abstract
[Objective:] To investigate the operation method and clinical effects of a modified-simple technique in children with subluxated lens extraction. [Methods:] Lens extraction was performed in 40 eyes of 23 children. During operation, the scleral tunnel and 3 lateral corneal incision were made, and anterior chamber maintainer was inserted through one corneal incision. Under stable anterior chamber perfusion, anterior capsulorrhexis was made by needle capsulotome. After hydro-dissection, the content of lens was withdrawn by suction needle completely. Then anterior chamber maintainer was removed, and the capsular bag was dragged out by capsulorhexis forceps and fixation forceps. Anterior vitrectomy was performed if there was prolapse of vitreous. Then scleral intraocular lens fixation was performed. The surgical effects were observed at median 39.0 months postoperative. [Results:] After surgery, the average uncorrected visual acuity was (0.44±0.22) LogMAR, the average best corrected distant visual acuity was (0.20±0.16) LogMAR. The uncorrected visual acuity and best corrected distant visual acuity were improved postoperative (P<0.001). The intraocular pressure of all patients was stable during operation. During and after operation, there were no fundus complications, such as secondary retinal detachment and suprachoroidal hemorrhage. [Conclusion:] Modified-simple technique of subluxated lens extraction of children has little disturbance on vitreous and takes shorter time of operation. It is simple, easy to learn and requires simple surgical equipment. This modified technique deserves to be generalized.
Authors and Affiliations
Xuyun MENG, Huali QIN, Hengguang WEI, Xia LI
Keywords
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- EP ID EP764605
- DOI 10.12419/j.issn.1000-4432.2023.02.08
- Views 13
- Downloads 0
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