Pediatric cataract surgery and intraocular lens implantation: a new technique for preventing or excising postoperative secondary membranes.
This report describes a series of six children who had a retropseudophakic vitrectomy performed via a limbal approach (limbal approach retropseudophakic vitrectomy, LARV). This technique ensures a permanently clear visual axis when performed at the time of cataract/implant surgery and can also be used to excise secondary membranes in patients who have had prior cataract extraction and intraocular lens implantation. A modification of this method permits the retrolenticular opacity in children with persistent hyperplastic primary vitreous (PHPV) to be relocated or excised at the time of cataract or cataract/implant surgery.
Mackool
R J
RJ
Mackool Eye Institute, Astoria, New York 11103.
Chhatiawala
H
H
D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007910:Lenses, Intraocular; D011183:Postoperative Complications / Q000517:prevention & control*; D014792:Visual Acuity; D014821:Vitrectomy