DR. MANJUSHREE BHATE

DR. VIRENDER SACHDEVA, DR. RAMESHA KEKUNNAYA, DR. VIVEKANAND WARKAD

Abstract

Objective:To study the clinical presentations, visual and refractive profiles of children with congenital ectopia lentis

297 consecutive children 18 years of age at presentation were analysed for demographic details, patient distribution, lens subluxation, visual and refractive profiles before and after the interventions.

Results 594 eyes of 297 (male 56%; n=166) patients. Mean age was 8.74 =/- 3.89. Best-corrected visual acuity (BCVA) ranged from 0.3 logMAR to 3.5 logMAR (mean 0.89+/- 0.68).High myopia (n=201;33.83%) and mild astigmatism (n=340;57.23%) were more frequent. Temporal (n=108; 18.18%) subluxation was most common. Lensectomy with limited vitrectomy was performed 243 eyes of 127 patients (40.90 %). Median pre-operative BCVA was 1.0(range:0.3 -3.5 logMAR) median postoperative BCVA was 0.5 logMAR pseudophakic group and 0.6 logMAR aphakic group. Spherical equivalent reduced from -12.06 to -1.57D in the pseudophakic group and +9.3D in the aphakic group.