Emmetropization after lensectomy and anterior vitrectomy for persistent hyperplastic primary vitreous cataract.
OBJECTIVE
To report the case of a 2-year-old boy whose aphakic eye became emmetropic 15 months after lensectomy with anterior vitrectomy for a classic persistent hyperplastic primary vitreous cataract.


METHODS
Retrospective case report.


RESULTS
Emmetropization of the aphakic eye was caused by corneal steepening and axial elongation. At 2 years old, the child would fixate and follow with either eye.


CONCLUSIONS
In this patient, the fortunate combination of axial elongation and corneal steepening resulted in the aphakic eye's developing a plano refraction and thus becoming more amenable to amblyopia treatment.
Khan
Arif O
AO
King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
D002386:Cataract / Q000151:congenital* / Q000473:pathology / Q000503:physiopathology; D002387:Cataract Extraction / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D006965:Hyperplasia; D007231:Infant, Newborn; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D012029:Refraction, Ocular; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*; D014822:Vitreous Body / Q000002:abnormalities* / Q000601:surgery