PURPOSE To evaluate the efficacy and safety of bimanual capsulorhexis combined with sutureless scleral-fixated intraocular lens (IOL) implantation in children diagnosed as having Marfan syndrome. METHODS The study included 14 eyes with subluxated lenses of 7 children who were diagnosed as having Marfan syndrome and underwent bimanual capsulorhexis combined with sutureless scleral-fixated IOL implantation by the same surgeon between 2015 and 2019 at the University of Health Sciences, Kartal Dr. Lütfi Kirdar City Hospital's Eye Department. RESULTS The mean preoperative and postoperative uncorrected visual acuity was 1.47 ± 0.41 and 0.42 ± 0.15 logarithm of the minimum angle of resolution (logMAR), respectively (P = .001). The preoperative best corrected visual acuity (BCVA) ranged from 1.30 to 0.40 logMAR with a mean value of 0.81 ± 0.30 logMAR. Postoperatively, all patients had an increase in the BCVA with a mean value of 0.20 ± 0.11 logMAR, which was statistically significant (P = .001). The mean preoperative and postoperative spherical equivalent was -9.69 ± 4.59 and -0.27 ± 1.21 diopters, respectively. CONCLUSIONS Despite the small number of patients in this study, good visual results and a low complication rate were obtained in patients with ectopic lens. The long-term IOL status in patients who have undergone sutureless scleral-fixated IOL implantation will make it possible to better evaluate the safety and applicability of the technique. [J Pediatr Ophthalmol Strabismus. 2021;58(6):401-406.].

中文翻译：

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无缝巩膜固定人工晶状体植入术治疗与马凡综合征相关的先天性晶状体半脱位。

目的 评估双手撕囊联合无缝线巩膜固定人工晶状体 (IOL) 植入术治疗马凡综合征患儿的疗效和安全性。方法 该研究包括 7 名儿童的 14 只眼睛半脱位的晶状体，这些儿童被诊断为马凡氏综合征，并于 2015 年至 2019 年由同一位外科医生在 2015 年至 2019 年期间在健康科学大学 Kartal Lütfi 博士接受了双手撕囊联合无缝线巩膜固定人工晶状体植入术Kirdar 市医院眼科。结果 术前和术后平均裸眼视力分别为最小分辨率角 (logMAR) 的 1.47 ± 0.41 和 0.42 ± 0.15 对数 (P = .001)。术前最佳矫正视力 (BCVA) 范围为 1.30 至 0.40 logMAR，平均值为 0.81 ± 0。30 logMAR。术后，所有患者的 BCVA 均增加，平均值为 0.20 ± 0.11 logMAR，具有统计学意义（P = .001）。术前和术后平均等效球镜度数分别为 -9.69 ± 4.59 和 -0.27 ± 1.21 屈光度。结论 尽管本研究中的患者数量较少，但异位晶状体患者获得了良好的视觉效果和较低的并发症发生率。接受无缝线巩膜固定人工晶状体植入术的患者的长期人工晶状体状态将有助于更好地评估该技术的安全性和适用性。[J Pediatr Ophthalmol 斜视。2021;58(6):401-406.]。术前和术后平均等效球镜度数分别为 -9.69 ± 4.59 和 -0.27 ± 1.21 屈光度。结论 尽管本研究中的患者数量较少，但异位晶状体患者获得了良好的视觉效果和较低的并发症发生率。接受无缝线巩膜固定人工晶状体植入术的患者的长期人工晶状体状态将有助于更好地评估该技术的安全性和适用性。[J Pediatr Ophthalmol 斜视。2021;58(6):401-406.]。术前和术后平均等效球镜度数分别为 -9.69 ± 4.59 和 -0.27 ± 1.21 屈光度。结论 尽管本研究中的患者数量较少，但异位晶状体患者获得了良好的视觉效果和较低的并发症发生率。接受无缝线巩膜固定人工晶状体植入术的患者的长期人工晶状体状态将有助于更好地评估该技术的安全性和适用性。[J Pediatr Ophthalmol 斜视。2021;58(6):401-406.]。接受无缝线巩膜固定人工晶状体植入术的患者的长期人工晶状体状态将有助于更好地评估该技术的安全性和适用性。[J Pediatr Ophthalmol 斜视。2021;58(6):401-406.]。接受无缝线巩膜固定人工晶状体植入术的患者的长期人工晶状体状态将有助于更好地评估该技术的安全性和适用性。[J Pediatr Ophthalmol 斜视。2021;58(6):401-406.]。