[Preliminary results of intraocular lens implantation in infants with cataract under two years old].
OBJECTIVE
To explore the feasibility of anterior and posterior capsulorhexis combined with anterior vitrectomy and intraocular lens implantation in infants with cataract under 2 years old.


METHODS
Anterior and posterior capsulorhexis combined with anterior vitrectomy and intraocular lens implantation was performed in 22 cases (27 eyes) of infants with cataract under 2 years old. The results during and after the operation were observed. The mean follow-up time was 12 months.


RESULTS
All surgeries were performed smoothly. The visual axis remained clear in 26 eyes (96%) after operation, there was white fibrosis and opacification posterior to the intraocular lens in 1 eye and needed re-operation, up drawn pupil in 3 eyes (11%), pupillary capture in 2 eyes (7%) and posterior synechia of the iris in 4 eyes (15%).


CONCLUSIONS
Anterior and posterior capsulorhexis combined with anterior vitrectomy and intraocular lens implantation in infants with cataract under 2 years old can keep visual axis clear and restore the normal anatomy of anterior segment of the eye, the complications are reduced greatly. However, the ultimate visual acuity needs further observation.
Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China. luyixx@online.sh.cn
Yi
Y
Lu
Jin
J
Yang
D000869:Anterior Eye Segment / Q000473:pathology; D019923:Capsulorhexis / Q000379:methods*; D002386:Cataract / Q000151:congenital*; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*