Authors
Zoi Drakou, Stratos Gotzaridis, Agathi Kouri, Eirini Maliagkani
Published in
Cureus. Volume 18. Issue 8. Pages e114849. Epub Aug 20, 2026.
Abstract
Management of pediatric aphakia without capsular support remains challenging, particularly following ocular trauma. Long-term outcomes of sutureless scleral fixation of the Carlevale intraocular lens (IOL) in children remain limited. We present the surgical management and five-year follow-up of a child with traumatic aphakia treated with a Carlevale IOL. An eight-year-old boy sustained a penetrating ocular injury caused by a knife, resulting in a full-thickness corneal laceration, traumatic cataract, and inadequate capsular support. Following primary corneal repair and lens removal elsewhere, the patient was referred to our clinic. A 25-gauge pars plana vitrectomy and sutureless scleral fixation of a Carlevale IOL were performed. At the five-year follow-up examination, the IOL remained well centered without tilt, haptic erosion, or significant inflammatory complications. Visual acuity improved progressively, reaching 0.0 LogMAR without refractive correction at the final examination. This case demonstrates a favorable anatomical and visual outcome at five years following sutureless scleral fixation of a Carlevale IOL in a child with traumatic aphakia and inadequate capsular support. The IOL remained stable at the five-year examination, with excellent uncorrected visual acuity and a favorable refractive outcome. This case suggests a potential role for the Carlevale IOL in the management of pediatric traumatic aphakia.
PMID:
42763778
Bibliographic data and abstract were imported from PubMed on 20 Sep 2026.
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