Radiofrequency diathermy capsulorhexis of the anterior and posterior capsules in pediatric cataract surgery: preliminary results.
OBJECTIVE
To assess the effectiveness of radiofrequency diathermy capsulorhexis in preventing opacification of the posterior capsule in pediatric cataract extraction.


METHODS
The Children's Hospital, Dublin, Ireland.


METHODS
Radiofrequency diathermy capsulorhexis to the anterior capsule followed by injection of sodium hyaluronate behind the posterior capsule and primary posterior capsule diathermy capsulorhexis were performed in 14 eyes of 7 children requiring cataract surgery.


RESULTS
Six patients had bilateral congenital and 1 patient bilateral developmental cataracts. Ten eyes (5 patients) received heparin-surface-modified intraocular lenses, and 4 eyes (2 patients) were left aphakic. There were no intraoperative complications, and only mild anterior segment inflammation was noted postoperatively.


CONCLUSIONS
With follow-up from 7 to 16 months (mean 12.1 months), our results showed no epithelial regrowth or opacification of the posterior capsule following diathermy capsulorhexis.
Comer
R M
RM
Children's Hospital, Dublin, Ireland.
Abdulla
N
N
O'Keefe
M
M
D002386:Cataract / Q000517:prevention & control*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D004564:Electrocoagulation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D007223:Infant; D007231:Infant, Newborn; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D011846:Radio Waves; D016896:Treatment Outcome
D006820:Hyaluronic Acid