This review discusses the management of non-traumatic ectopia lentis in the paediatric population focussing on the variety of surgical options for these patients. The review considers visual sequelae and conservative management, limitations for surgery with respect to historical and current review, surgical approach with respect to the limbus, pars plana approaches plus anterior vitrectomy, visual rehabilitation with respect to anterior chamber IOL, iris-fixated posterior chamber IOL, scleral-fixated posterior chamber IOL and capsular tendon rings – the latter being most recently described in the literature with promising results. The authors conclude that visual rehabilitation and treatment of amblyopia are essential following surgical treatment of ectopia lentis. 

New management strategies for ectopia lentis.
Simon MA, Origlieri CA, Dinallo AM, et al.
JOURNAL PEDIATRIC OPHTHALMOLOGY STRABISMUS
2015;52:269-81.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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