Posterior continuous curvilinear capsulorhexis and optic capture of the intraocular lens to prevent secondary opacification in pediatric cataract surgery.
OBJECTIVE
To evaluate the safety and efficacy of posterior continuous curvilinear capsulorhexis with optic capture n preventing secondary opacification of the visual axis in pediatric eyes having cataract surgery and intraocular lens (IOL) implantation.


METHODS
Gimbel Eye Centre, Calgary, Alberta, Canada.


METHODS
Posterior continuous curvilinear capsulorhexis with optic capture of the IOL was performed in 18 of 19 consecutive pediatric cataract patients (ages 2 1/2 to 12 years). Heparin-coated IOLs with 6 degree angulation of the haptics were implanted in all eyes. Only eyes with a minimum of 18 months follow-up (n = 16) were analyzed.


RESULTS
Mean follow-up in the 16 eyes was 35.5 months +/- 9.45 (SD), ranging from 19 to 49 months. To date, the visual axis has remained clear in all eyes. No anterior vitrectomy was purposefully performed in any eye.


CONCLUSIONS
Posterior continuous curvilinear capsulorhexis with optic capture of the heparin-coated IOL appeared to successfully prevent secondary opacification of the visual axis in pediatric cataract cases.
Gimbel
H V
HV
D002386:Cataract / Q000209:etiology / Q000517:prevention & control*; D002387:Cataract Extraction / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D016896:Treatment Outcome