IMPROVEMENTS IN VISUAL-ACUITY FOLLOWING LIMBAL LENSECTOMY FOR SUBLUXATED LENSES IN CHILDREN

BACKGROUND AND OBJECTIVE: To report the surgical results of limbal len sectomy using an automated vitrectomy instrument for the treatment of subluxated lenses in children. PATIENTS AND METHODS: The authors revie wed the charts of children who underwent surgery for subluxated lenses . Limbal lensectomies with an ''in the bag'' technique were performed on 18 eyes of 10 patients. The indications for surgery were a best-cor rected visual acuity of less than 20/60, bisection of pupil by the len s, or both. RESULTS: Best-corrected visual acuity improved in all 18 e yes (paired t test, P<.01). In 1 eye, transient anterior chamber hyphe ma occurred during the early postoperative period. No other significan t complications were found during an average follow-up of 19.6 months. CONCLUSION: Limbal lensectomy for subluxated lenses in children impro ved visual acuity without severe complications.