Document Detail

Safety of transscleral-sutured intraocular lenses in children.
MedLine Citation:
PMID:  18706839     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the long-term efficacy, safety, and advisability of transscleral-sutured posterior chamber intraocular lenses (IOLs) in pediatric patients with no capsular support and to determine whether a 10-0 polypropylene suture should be used for this purpose. METHODS: A long-term retrospective interventional case series review of 33 eyes of 26 patients who had a sutured IOL at Duke University Eye Center. Cases were evaluated for the intraoperative surgical risks and the number, type, and severity of the postoperative complications. A survey of pediatric ophthalmologists' experience with suture breakage was performed. RESULTS: Intraoperative and immediate postoperative complications were minimal and not sight-threatening for the patient. Four patients developed subluxation of the IOL secondary to spontaneous 10-0 polypropylene suture breakage at 3.5, 5, 6, and 8 years after surgery. A survey of pediatric ophthalmologists revealed 13 similar cases (mean, 5 years after surgery). CONCLUSIONS: Caution should be exercised in the use of 10-0 polypropylene suture to fixate an IOL to the sclera in children, and an alternative material or size (such as 9-0 polypropylene) should be considered.
Edward G Buckley
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Publication Detail:
Type:  Journal Article     Date:  2008-08-15
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  12     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2009-02-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  431-9     Citation Subset:  IM    
Duke Eye Center, Durham, North Carolina 27710, USA.
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MeSH Terms
Child, Preschool
Equipment Design
Equipment Failure
Follow-Up Studies
Foreign-Body Migration / etiology
Intraoperative Complications
Lens Implantation, Intraocular / adverse effects,  methods*
Polypropylenes / adverse effects
Postoperative Complications
Retrospective Studies
Sclera / surgery*
Suture Techniques / adverse effects*
Sutures / adverse effects*
Visual Acuity
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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