Surgical correction of lens dislocation in children

We treated nontraumatic ectopia lentis with the irrigation and aspiration method in 30 children and the Keeler/SITE instrument in three. Preoperative visual acuities were 6/21 (20/70) or worse in all patients; postoperatively, visual acuities improved in 29 of the 30 eyes and were 6/18 (20/60) or better in 24 (80%). Amblyopia was the major preoperative and postoperative complication. Results were also good in the three eyes in which we used the Keeler/SITE instrument. The prognosis for postoperative visual acuity in nontraumatic cases of ectopia lentis is good when either the irrigation and aspiration method or the Keeler/SITE instrument is used.