[Surgical treatment of lens dislocation in children--analysis of complications].

PURPOSE: To present the surgical complications in eyes with ectopia lentis in children.

MATERIAL AND

METHODS

116 eyes of 65 children were operatively treated for lens dislocation. Pars plana lensectomy, vitrectomy and IOL implantation with scleral fixation were done in all eyes. Time of observation ranged between 1-6 years (mean 3.4).

RESULTS

There were no serious intraoperative complication (mainly hemorrhage to anterior and posterior chamber). Postoperative complications included retinal detachement in 3 (2.6%) eyes and endophthalmitis in 1 (0.8%) eye, were the major complications observed in all patients. Complications related to scleral fixation included exposure of the scleral fixation suture in 8 (6.9%) eyes, lens decentration in 9 (7.8%) eyes, pupil capture in 3 (2.6%).

CONCLUSIONS

The surgical procedure is useful and safe in the management of subluxated lenses in children.