Improvements in visual acuity following limbal lensectomy for subluxated lenses in children

Abstract

BACKGROUND AND OBJECTIVE: To report the surgical results of limbal lensectomy using an automated vitrectomy instrument for the treatment of subluxated lenses in children. PATIENTS AND METHODS: The authors reviewed the charts of children who underwent surgery for subluxated lenses. Limbal lensectomies with an 'in the bag' technique were performed on 18 eyes of 10 patients. The indications for surgery were a best-corrected visual acuity of less than 20/60, bisection of pupil by the lens, or both. RESULTS: Best- corrected visual acuity improved in all 18 eyes (paired t test, P<.01). In 1 eye, transient anterior chamber hyphema occurred during the early postoperative period. No other significant complications were found during an average follow-up of 19.6 months. CONCLUSION: Limbal lensectomy for subluxated lenses in children improved visual acuity without severe complications.