Implantation of scleral fixation multifocal IOLs in children with Marfan’s syndrome: 5 years of experience

Session Details

Session Title: Presented Poster Session 13: Pseudophakic IOLs 2

Session Date/Time: Monday 15/09/2014 | 09:30-11:00

Paper Time: 10:30

Venue: Pod 1 (Poster Village)

First Author: : M.Fortunato ITALY

Co Author(s): :    A. Turtoro              

Abstract Details

Purpose:

To demonstrate the efficacy of sclerally fixed multifocal IOLS in restoring pseudaccomodation in patients aged 6 to 14 years with Marfan’s Syndrome.

Setting:

Ophthalmology Department, "Bambino Gesù" Children's Hospital, Rome, Italy

Methods:

The Autors present a series of 80 eyes (age range 6-14 years) with Marfan’s Syndrome which underwent secondary implantation of a flexible multifocal IOL (SOLEKO, FIL 65 Pvs, add). Only patients with BCVA ≥5/10, normal pupillary activity, clear media, normal fundus were included in the study. Previously all patients had undergone lensectomy for ectopia lentis.

Results:

From 2008 to 2013 80 eyes of children with Marfan’s Syndrome were implanted with a multifocal scleral fixation IOL. 5 year of follow-up: 62 eyes (78.5%) had BCVA 10/10 (18% uncorrected; 82% with correction); 80 eyes (100%) had I for near; 17 eyes (21.5%) had far BVCA 8/10 (AMBLIOPIA); only 2 eyes belonging to the same patient presented post-operative tilting of the IOL towards the anterior chamber, treated with pilocarpine; 2 eyes were subjected to the IOL repositioning

Conclusions:

In our opinion, multifocal scleral fixation IOLS in children with Marfan’s Syndrome permit an excellent visual recovery, both for near and far vision.