Abstract:

Congenital subluxation of the lens is a complicated disease in ophthalmology. At present, the treatment of congenital dislocation of the lens is still dominated by surgical management. However, the choice of surgical approach and timing is still in dispute. The complexity of the operation is far greater than that of the common cataract surgery, and postoperative complications are more complicated. Nowadays, in order to get better postoperative prognosis and the least postoperative complications, a variety of surgical techniques and new surgical tools are constantly improving. The trans-scleral suture-fixed posterior chamber intraocular lens(IOL) is the most classic surgery. Meanwhile, the implantations of suture-fixed capsular tension ring/segment are used more and more, due to little complications during long-term follow-up. Some surgeons favor iris-claw or iris-fixed IOL alternatively. Each surgical method has its own merits and faults. According to the indications and complications of each method, surgeons should choose the personalized medical therapies tailored to individual patients based on their condition. Furthermore, constantly development of new technologies will provide a better prognosis to the congenital lens subluxation patients.