Pseudoaccomodation with multifocal IOLs in paediatric Marfan's Syndrome: 3 years of experience

Poster Details

First Author: M.Fortunato ITALY

Co Author(s):    A. Turtoro   A. Menna   A. Ubaldi        

Abstract Details

Purpose:

to demonstrate the efficacy of sclerally fixed multifocal IOLs in restoring pseudoaccomodation in patients aged 6 to 14 years with Marfan's Syndrome

Setting:

AIERV. ROME

Methods:

the Authors present a series of 18 eyes (9 patients, 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 ?8/10, normal papillary activity, clear media, normal fundus were included in the study. Previously all patients had undergone lensectomy for ectopia lentis.

Results:

From 2008 to 2011 18 eyes of children with Marfan’s Syndrome were implanted with a multifocal scleral fixation IOL. 1 year of follow-up: 21 eyes (61.1 %) had BCVA 10/10 (4 eyes , 22.2 % uncorrected; 7 eyes, 77.8 % with correction); 18 eyes (100%) had I for near; 3 eyes (16.6 %) had far BVCA 8/10 (AMBLIOPIA); only 2 eyes (11.1 %) belonging to the same patient presented post-operative tilting of the IOL towards the anterior chamber, treated with pilocarpine

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. FINANCIAL DISCLOSURE?: No