Subluxação congênita do cristalino: resultados visuais e posição das lentes intraoculares após a cirurgia

Incidence of retinal detachment after lens surgery in children and young adults with nontraumatic ectopia lentis

“…The incidence of retinal detachment in our cohort of children and young adults who underwent lens surgery for ectopia lentis was higher than in most other single-center series (Table 4). [4][5][6][7][8][9][10][14][15][16][17][18][19][20] Our series used claims data that are less likely to exclude patients and is nearly 4 times larger than any previous series. In addition, single-center series are often reported by surgeons who have a special expertise in the type of surgery being reported, whereas claims data include surgeons with a broader range of expertise.…”

“…These techniques include the implantation of an iris-claw IOL, iris-sutured posterior chamber IOL (PC IOL), scleral-sutured PC IOL, intrascleral haptic-fixated PC IOL, in-the-bag fixation using a capsular tension ring coupled with amputation of 1 haptic of a 3-piece PC IOL, and in-the-bag fixation with a Cionni capsular tension ring sutured to the sclera. [5][6][7][8][9][10][11] A variety of complications have been reported after these surgical procedures including suture erosions, haptic extrusion, glaucoma, chronic uveitis, pupillary block, optic capture, IOL decentration, IOL dislocation, cystoid macular edema, vitreous hemorrhage, suprachoroidal hemorrhage, and retinal detachment. [11][12][13][14] In a recent review, the incidence of retinal detachment after IOL implantation in patients without zonular support was reported to be 0% to 8.2%.…”

Ectopia lentis: contact lens fitting and diseases with this finding

“…O acompanhamento clínico do paciente e a correção óptica com óculos ou lentes de contato continuam a ser a abordagem clássica para a EL, especialmente quando a subluxação é pequena, estável e não há complicações 9,[48][49][50] .…”

“…Durante a cirurgia, deve ser utilizado um anel expansor endocapsular para melhor visualização, especialmente na facectomia extracapsular ou na facoemulsificação 52,57 . eOftalmo A indicação cirúrgica para EL mais comum é quando a borda do cristalino atinge o eixo visual, quando há desinserção extensa da zónula, ou quando há falta de suporte capsular 50,58 . Nestes casos, a lensectomia-vitrectomia é realizada através da pars plana ou por via limbal.…”

A systematic review of ultrasound biomicroscopy use in pediatric ophthalmology

“…The body of literature on UBM for pediatric cataracts evaluates the anatomy at each relevant step in the congenital cataract lifecycle: diagnosis and preoperative planning, surgical removal, and postoperative assessment generally dedicated to assessing intraocular lens (IOL) position. Fifty-seven percent of publications evaluated the position and visual outcome for various IOL types and locations including bag, sulcus, scleral fixated, and iris claw [35][36][37][38][39][40][41][42]. The remaining 43% of publications evaluated pre-and postoperative anatomy.…”