Related Experiment Video
Updated: Aug 13, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
[The estimation of functional results after surgical treatment for ectopia lentis in children]
Krystyna Kanigowska1, Mirosława Grałek, Dorota Klimczak-Slaczka
1Z Kliniki Okulistyki Instytutu, Pomnika--Centrum Zdrowia Dziecka, w Warszawie.
Purpose:
To review the visual outcome of planned pars plana lensectomy and vitrectomy with posterior chamber intraocular lens implantation for ectopia lentis in children.
Material And Methods:
Between 1997-2002, 116 eyes were operated because of lens subluxation, mainly because of decreased visual acuity (<0.4). Lens subluxation was associated with homocystinuria in 4 patients (8 eyes), Marfan's syndrome in 30 (54 eyes), congenital simple ectopia lentis in 16 (31 eyes), post trauma in 6 (6 eyes), and congenital ectopia lentis and pupillae in 9 (17 eyes). Time of observation ranged between 1 to 6 years (mean 3.4).
Results:
After surgery, we achieved best-corrected visual acuity improvement in 89%. Unsatisfactory visual results were due to amblyopia (9 eyes), complications of retinal detachement surgery (3 eyes), uveitis (2 eyes), glaucoma (1 eye).
Conclusions:
Pars plana lensectomy, vitrectomy and scleral-fixated IOL implantation give quick and good functional results. To achieve these results, visual rehabilitation and amblyopia treatment is necessary.
