Pars plana lensectomy for the management of ectopia lentis in children.

BACKGROUND

Nontraumatic ectopia lentis arises from a variety of inherited disorders. It may also occur as an isolated abnormality in an otherwise healthy individual. Surgical intervention is necessary when lens subluxation causes a significant refractive error resulting in amblyopia.

PATIENTS AND METHODS

We report the results of pars plana lensectomy for nontraumatic ectopia lentis in 24 eyes of 13 patients and provide data on the merits of this surgical approach. better in 17 of 22 eyes and 6/12 or better in 19 of 22 eyes. Other than contact lens-related problems, there were no perioperative or postoperative complications.

CONCLUSIONS

Pars plana lensectomy is a safe, effective procedure for the management of ectopia lentis. Visual outcomes are excellent. These findings should encourage earlier surgery when indicated to prevent amblyopia and improve visual acuity.