[Intrascleral-intracapsular flexible intraocular lens in children with lens dislocation]

The results of surgical treatment were studied in 12 children with lens dislocation (20 eyes) were studied. According to the procedure of intraocular lens (IOL) fixation, the patients were divided into 2 groups: 1) transscleral suture fixation in 2 sectors [7 children (11 eyes)] and 2) intrascleral fixation in one sector and intracapsular fixation in another sector [5 children (9 eyes)]. IOLs made from polymethyl methacrylate were applied in Group 1. Flexible IOLs with rigid haptic elements were used in Group 2. The postoperative follow-ups lasted 4 months to 2 years. In Group 1, IOL dislocation developed in 2 cases. In Group 2, secondary cataract developed in 1 case. The findings prove that the optimum procedure for intraocular correction of aphakia in children with lens dislocation is the developed technique that ensures a reduction in the frequency of complications and a stable position of IOL, resulting in the inclusion of more indications for its use in young children.