[Outcomes of lensectomy, posterior capsulotomy, anterior vitrectomy and posterior chamber intraocular lens implantation in pediatric cataracts]

ABSTRACT

To evaluate the visual outcomes and complications of lensectomy, posterior capsulotomy, anterior vitrectomy and Acrylic hydrophobic posterior chamber intraocular lens [PCIOL] implantation for congenital or developmental cataract in children 6-9 years of age. In a prospective interventional case series, 13 eyes of 10 children with congenital or developmental cataract underwent the above-mentioned surgery. Patients were followed for at least six months postoperatively. Pre- and postoperative visual acuity as well as intra- and postoperative complications were evaluated. Mean age was 7.8 +/- 1.2 [range 6-9] years. Patients were followed for a mean period of 13.3 +/- 7 months after surgery. Mean preoperative visual acuity was 1 +/- 0.1 LogMAR which reached 0.1 +/- 0.1 LogMAR at final follow up [P<0.0001]. No intraoperative complication occurred. All cases had clear visual axis at the last visit. Lensectomy, posterior capsulotomy, anterior vitrectomy and PCIOL implantation in 6-9 years old children with congenital or developmental cataract is a safe procedure and effective in terms of visual improvement