Dr. Ajinkya Deshmukh

Dr.SAMPADA KULKARNI IRLEKAR, Dr. RAMESHA KEKUNNAYA

Abstract

We describe clinical profile and surgical outcomes of patients with posterior lenticonus (PL) related cataracts in 85 eyes of 64 patients. 33% had bilateral PL. Median age was 3 yrs. 40% had total cataract. Sensitivity of immersion B scan to diagnose PL was 46%. Mean axial length was 21.5mm. Mean keratometry was 45mm. 64% patient underwent lens aspiration+ intraocular lens (IOL) in bag+ posterior capsulotomy+ anterior vitrectomy; 18% had IOL in sulcus. 58% treated for amblyopia. BCVA outcomes at 6 months were fair to poor in 2/3rd patients (median 20/100). 12% patients needed 2nd surgery (membranectomy, secondary IOL, pars-plana vitrectomy for cortex removal/ IOL repositioning).

We conclude, bilateral disease is more prevalent. Sensitivity of immersion B scan to diagnose PL is limited. Cataract extraction and optical correction with IOL is possible; with low intraoperative complications. The visual outcomes are fair to poor; likely secondary to late presentation and dense amblyopia.