Pediatric secondary lens implantation in the absence of capsular support

Surgical intervention for traumatic cataracts in children: Epidemiology, complications, and outcomes

“…Inadequate capsular or zonular support may restrict placement of IOL in the bag or sulcus. Artisan lenses, 14 transclerally sutured IOLs, [15][16][17] and anterior chamber IOLs [18][19][20][21][22] are other alternatives available in the management of select patients.…”

Traumatic pediatric cataract: A decade of follow-up after Artisan® aphakia intraocular lens implantation

“…5,8,9 However, in scleral-fixated IOLs concerns have been raised about the risk of conjunctival and scleral erosion of scleral sutures leading to infection or endophthalmitis, IOL tilt, dislocation of the lens in the vitreous cavity, vitreous or ciliary body hemorrhage, and secondary glaucoma. [10][11][12] We used the Artisan aphakia IOL (Ophtec, Groningen, The Netherlands), * a PMMA anterior chamber iris-fixated lens originally designed in 1978 by J G. Worst, Groningen, The Netherlands.…”

“…3,[5][6][7] Due to the high incidence of secondary glaucoma, progressive pupil distortion, endothelial loss, and the limited experience with these IOLs in children, angle-supported IOLs have not gained widespread acceptance.…”

Safety of transscleral-sutured intraocular lenses in children

“…The follow-up has been relatively short, with the longest averaging only 3 years (Table 1). 11,12,14,15 Recently, a new concern has been raised in adults about the long-term safety of using a 10-0 polypropylene (Prolene) suture to fixate the IOL to the scleral wall. Polypropylene is a monofilament polymer composed of propene (CH 2 ϭ CHCH 3 ), configured as an isotactic crystalline polypropylene stereoisomer.…”