Travmatik Kataraktlı Çocuklarda Sklera Fiksasyonlu Arka Kamara Göz İçi Merceği

Abstract

Objective: To report on the outcomes of posterior chamber lens implantation with scleral fixation (SFIOL) in children with traumatic cataract after 1 year. Material and Methods: Eleven eyes of eleven cases were included in the study. All patients had corneal or corneoscleral lacerations that were primarily repaired except one patient. Traumatic cataract subsequently developed and SFIOL was performed due to insufficient posterior capsule support. Pre-operative and post-operative best corrected visual acuity (BCVA), intraocular pressure (IOP), intraocular lens (IOL) position, anterior chamber reaction, and retinal evaluation were analyzed via retrospective medical record review. Results: From 2013-2015, 11 SFIOLs were implanted in 11 children with traumatic cataracts. The average age of the patients was 8.2 years (range: 5 to 14 years). All cases had SFIOL implanted via internal route using triangular double scleral flaps made of 10-0 polypropylene after a complete anterior vitrectomy. Average follow-up was 16.57±3.41 months (range: 12 to 26 months). Visual acuity was increased at the last visit in all patients (p<0.05). Common postoperative complications were fibrinous reaction in 5 (46%) patients, vitreous hemorrhage in 4 (36%) patients, and transient intraocular pressure increase in 2 (18%) patients. Results showed no evidence of complications after the postoperative first year. Conclusion: SFIOL is an effective and reliable method in patients with pediatric traumatic cataract who had insufficient posterior capsule support who are lacking other means for visual rehabilitation.