A pars plana approach for cataract surgery in posterior lenticonus.
OBJECTIVE
To report the management and outcome of cataract surgery and intraocular lens placement in a child with unilateral posterior lenticonus.


METHODS
Case report. A 7-year-old boy with a best-corrected visual acuity of RE, 20/200, posterior lenticonus, and cataract underwent a pars plana lensectomy, vitrectomy, posterior chamber intraocular lens insertion into the ciliary sulcus, and central anterior capsulotomy.


RESULTS
At 2 years of follow-up, best-corrected visual acuity was RE, 20/40.


CONCLUSIONS
This technique allowed complete removal of the opaque posterior lenticonus plaque while preserving the peripheral anterior capsule for sulcus fixation of the posterior chamber intraocular lens.
Simons
B D
BD
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, FL, USA.
Flynn
H W
HW
D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D006801:Humans; D007905:Lens Diseases / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D019904:Polymethyl Methacrylate; D014792:Visual Acuity; D014821:Vitrectomy
D019904:Polymethyl Methacrylate