Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support
There are several available options for the demanding surgical correction of paediatric aphakia without sufficient capsular support. The literature suggests the implantation of a transscleral fixated posterior chamber-intraocular lens (PCIOL), an intrascleral fixated PCIOL, an iris-sutured intraocul...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/2253486 |
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| author | Evdoxia-Maria Karasavvidou Craig Wilde Anwar Zaman Gavin Orr Dharmalingam Kumudhan Georgios D. Panos |
| author_facet | Evdoxia-Maria Karasavvidou Craig Wilde Anwar Zaman Gavin Orr Dharmalingam Kumudhan Georgios D. Panos |
| author_sort | Evdoxia-Maria Karasavvidou |
| collection | DOAJ |
| description | There are several available options for the demanding surgical correction of paediatric aphakia without sufficient capsular support. The literature suggests the implantation of a transscleral fixated posterior chamber-intraocular lens (PCIOL), an intrascleral fixated PCIOL, an iris-sutured intraocular lens (IOL), or an anterior chamber iris-claw IOL. We searched for reports on the management of paediatric aphakia in case of inadequate capsular support that delineated the diverse surgical approaches and their postoperative results. Analysis demonstrated that different complications can be encountered depending on IOL placement technique, such as suture rupture, IOL dislocation, secondary glaucoma, endophthalmitis, vitreous hemorrhage, and endothelial cell loss. However, it was shown that various IOL designs have similar visual outcomes. Taking into consideration the advantages and disadvantages of each surgical technique, ophthalmic surgeons can determine the safest and most efficient approach for paediatric aphakic patients. |
| format | Article |
| id | doaj-art-2a02f865d3e54c5a95e9c0a4bbb15d08 |
| institution | Kabale University |
| issn | 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-2a02f865d3e54c5a95e9c0a4bbb15d082025-08-20T03:54:37ZengWileyJournal of Ophthalmology2090-00582021-01-01202110.1155/2021/2253486Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular SupportEvdoxia-Maria Karasavvidou0Craig Wilde1Anwar Zaman2Gavin Orr3Dharmalingam Kumudhan4Georgios D. Panos5Karasavvidou Eye CentreDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyThere are several available options for the demanding surgical correction of paediatric aphakia without sufficient capsular support. The literature suggests the implantation of a transscleral fixated posterior chamber-intraocular lens (PCIOL), an intrascleral fixated PCIOL, an iris-sutured intraocular lens (IOL), or an anterior chamber iris-claw IOL. We searched for reports on the management of paediatric aphakia in case of inadequate capsular support that delineated the diverse surgical approaches and their postoperative results. Analysis demonstrated that different complications can be encountered depending on IOL placement technique, such as suture rupture, IOL dislocation, secondary glaucoma, endophthalmitis, vitreous hemorrhage, and endothelial cell loss. However, it was shown that various IOL designs have similar visual outcomes. Taking into consideration the advantages and disadvantages of each surgical technique, ophthalmic surgeons can determine the safest and most efficient approach for paediatric aphakic patients.http://dx.doi.org/10.1155/2021/2253486 |
| spellingShingle | Evdoxia-Maria Karasavvidou Craig Wilde Anwar Zaman Gavin Orr Dharmalingam Kumudhan Georgios D. Panos Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support Journal of Ophthalmology |
| title | Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support |
| title_full | Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support |
| title_fullStr | Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support |
| title_full_unstemmed | Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support |
| title_short | Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support |
| title_sort | surgical management of paediatric aphakia in the absence of sufficient capsular support |
| url | http://dx.doi.org/10.1155/2021/2253486 |
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