To evaluate the outcomes of posterior chamber lens implantation with scleral fixation (SF-PCIOL) in children with traumatic
Twenty-four eyes of 24 cases were included. All patients had corneal or corneoscleral lacerations that were primarily repaired.
Traumatic cataract subsequently developed and SF-PCIOL was performed due to insufficient posterior capsule support.
The average age of the patients was 5.8 years (range: 4 to 10 years). All cases had SF-PCIOL implanted via internal route
using triangular double scleral flaps made of 9-0 polypropylene after a complete anterior vitrectomy. Average follow-up was
14.6 ± 4.3 months (range: 11 to 18 months). Visual acuity was increased at the last visit in 23 (96%) patients. Common postoperative
complications were fibrinous reaction in 6 (25%) patients, transient intraocular pressure increase in 4 (17%) patients, membrane
formation requiring removal in 1 (4%) patient, transient intraocular hemorrhage as vitreous hemorrhage in 1 (4%) patient,
and retinal detachment in 1 (4%) patient after the postoperative second month.
SF-PCIOL is an effective and reliable method in patients with pediatric traumatic cataract who had insufficient posterior
From the Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakir, Turkey.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Ihsan Caca, MD, Dicle Üniversitesi Tip Fakültesi Göz Hastaliklari ABD, 21280 – Diyarbakir, Turkey. E-mail: email@example.com
Received: February 16, 2010
Accepted: May 06, 2010
Posted Online: July 22, 2010