Pars plana lensectomy with double-capsule-supported intraocular lens implantation in children.
An alternative technique to manage pediatric cataracts comprises a pars plana lensectomy and anterior vitrectomy with anterior and posterior capsulotomies and posterior chamber heparin-surface-modified intraocular lens (IOL) implantation in the ciliary sulcus through a scleral tunnel. The surgical results in 7 eyes of 6 consecutive patients between 3.5 and 12.0 years old with developmental or traumatic cataract who had surgery using this technique were evaluated prospectively. Follow-up ranged from 12 to 19 months. All 7 eyes maintained a clear pupillary axis and a well-centered IOL from immediately after surgery to the last follow-up. Final best corrected visual acuity was 20/40 or better in 71% of cases.
Onol
M
M
Gazi University Medical Faculty Department of Ophthalmology, Ankara, Turkey.
Ozdek
S C
SC
Köksal
M
M
Hasanreisoğlu
B
B
D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011446:Prospective Studies; D011474:Prosthesis Design; D012029:Refraction, Ocular; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy