Anchor-assisted capsular bag IOL implantation to correct subluxated lenses in children with Marfan syndrome: long-term follow-up.

PURPOSE: To assess the long-term visual and refractive outcomes and potential complications of scleral bag fixation using the AssiAnchor device in pediatric patients with Marfan syndrome (MFS).

SETTING

Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.

DESIGN

Retrospective, consecutive case series.

METHODS

Data was collected on pediatric patients with genetically or clinically confirmed MFS who underwent lens extraction with intraocular lens (IOL) implantation and bag preservation using the AssiAnchor device.

RESULTS

A total of 10 eyes of 8 patients were included. Mean postoperative follow-up was 5.08 years (range 2 to 9.25 years). Average age at surgery was 6.9 ± 3.3 years (range 2.8 to 13.75). The mean corrected distance visual acuity improved from 20/80 to 20/30 ( P = .01). Mean absolute error from the aimed refraction was -0.37 ± 0.6 diopters (D) (range -1.25 to 0.75 D). At the last follow-up, all IOLs were stable and central, with healthy conjunctival tissue over the sutures and flanges. Postoperative complications included glaucoma in 1 eye and IOL subluxation in 2 eyes of the same patient. Posterior capsular opacification occurred in 6 eyes, strabismus developed in 1 patient and resolved in 2 patients. Amblyopia was identified in 6 eyes (60%), comprising 5 mild cases and 1 moderate case.

CONCLUSIONS

The capsular anchor device effectively managed lens subluxation in pediatric MFS, providing long-term stabilization of the capsular bag and facilitated IOL implantation. The findings demonstrate satisfactory visual and refractive outcomes with an acceptable rate of complications.