Dr. JASPREET SUKHIJA

DR. SAVLEEN KAUR, DR. PARUL CHAWLA GUPTA

Abstract

Objective: To discuss the surgical management of Ectopia Lentis in Children. Methods: Three children diagnosed with Simple ectopia lentis, Marfans syndrome and Ectopia lentis et pupillae were operated with different techniques which was decided based on the aetiology of subluxation. The first case where the subluxation was less than 9 clock hours was manged with Cionni capsular tension ring with IOL placement in the bag. The child with Marfans Syndrome underwent posterior iris claw lens and the third patients underwent lensectomy with scleral fixated IOL. Results: Visual acuity improved in all three children with good surgical outcome. Conclusion: Pediatric ectopia lentis has a varied etiology and surgical decision making regarding the technique to be used in each case should be customised based on the cause because of association of iris abnormalities and scleral thinning in such progressive disorders.