Surgical Correction of Lens Dislocation in Children

Seetner, Avron A.; Crawford, J. G.

doi:10.1016/0002-9394(81)90354-8

Cited by 21 publications

(5 citation statements)

References 3 publications

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“…The entire operation could be completed in the vitreous cavity in cases of soft nuclei, but intracapsular limbal extraction was necessary for hard nuclei. Peyman et al 3 20 in 1981 reported the first series of patients with ectopia lentis managed with pars plana lensectomy, demonstrating good visual results and few complications. Girard et al 12 in 1990 described pars plana lensectomy by ultrasonic fragmentation for hard ectopic lenses in adults.…”

Section: Discussionmentioning

confidence: 96%

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses

Omulecki

Stolarska²,

Synder³

2005

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 96%

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses

Omulecki

Stolarska²,

Synder³

2005

Journal of Cataract and Refractive Surgery

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“…Lensectomy through the pars plana or pars plicata has few complications (Peyman et al 1979). It is now possible both with aspiration technique and aspiration cutting technique (Peyman et al 1979;Seetner & Crawford 1981) to operate on such eyes with good results and few complications. With modern instrumentation and surgical technique combined with a careful pre-and post-operative fundus examination and the necessary prophylactic treatment, the risk factors are now under control.…”

Section: Discussionmentioning

confidence: 99%

Pars plana technique for removal of congenital subluxated lenses in young patients

Syrdalen

1987

Acta Ophthalmologica

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Lensectomy with the pars plana technique was performed in 16 eyes of 11 patients (2 female, 9 male) with congenital subluxated lenses. Lens subluxation was associated with homocystinuria in 2 patients, Marfan's syndrome in 4, congenital simple ectopia lentis in 2 and without any known heredity in 3 patients. The reason for removal was in all eyes optical disturbances. Five patients were operated on both eyes. All lenses were removed with the Kløti Vitreous Stripper through the pars plana. No complications occurred. Retinal detachment was present pre-operatively in both eyes in one patient with homocystinuria. In the post-operative period, prophylactic photocoagulation and cryotherapy were performed in 7 eyes in 6 patients (6 photocoagulation and 1 cryo). The pars plana technique for removal of clear subluxated lenses in young individuals seems to be the method of choice. Complications are negligible and the method gives excellent optical results.

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“…In a pyridoxineresponsive patient general anasthesia is not hazardous under the condition of normal platelet function with use of the vitamin. The aspiration technique (Barraquer 1972;Okuda et al 1981) or pars plana approach (Peyman et al 1979;Seetner & Crawford 1981) is advocated to treat the subluxated lens to reduce complications.…”

Section: Discussionmentioning

confidence: 99%

Lens Subluxation in Homocystinuria

Hayasaka

Asano

Tateda

et al. 1984

Acta Ophthalmologica

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A 6-year-old girl had bilaterally subluxated lenses and liver and platelet dysfunctions. A cyanide-nitroprusside test of the urine was positive. Serum and urinary levels of methionine and homocystine were high. Cystathionine synthetase activity in the cultured skin fibroblasts was negligible. Pyridoxine, 1000 mg/day orally, normalized the serum and urinary methionine and homocystine levels and the liver and platelet functions. Episodes of pupillary block glaucoma prompted lens extraction. The subluxated lenses were extracted under general anaesthesia after administration of pyridoxine and dextran to avoid thrombosis. A good result without serious complications was obtained. We believe that homocystinuria should not be considered a contra-indication to general anaesthesia. In the pyridoxine-responsive patient general anaesthesia is not hazardous if platelet function can be controlled by the vitamin.

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Surgical Correction of Lens Dislocation in Children

Cited by 21 publications

References 3 publications

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses

Pars plana technique for removal of congenital subluxated lenses in young patients

Lens Subluxation in Homocystinuria

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