Pars plana capsulectomy and vitrectomy for posterior capsular opacification in pseudophakic children.
OBJECTIVE
To evaluate the safety and efficacy of pars plana capsulectomy and vitrectomy for posterior capsular opacification (PCO) in pseudophakic children.


METHODS
Pars plana capsulectomy and vitrectomy was performed for PCO in 63 pseudophakic eyes of 57 children with an infusion through sutureless clear cornea. The patients' ages ranged from 3 to 12 years (mean: 5.8 +/- 1.9 years). Surgical technique, intraoperative and postoperative complications, visual acuity, intraocular pressure (IOP), and corneal endothelial cell density were recorded.


RESULTS
The surgical procedure was performed uneventfully in all patients. The mean follow-up was 2.4 +/- 1.4 years (range: 6 months to 5.2 years). During the follow-up period, no incision leakage or other complications were noted and no eye developed recurrent PCO. All eyes had an improvement of visual acuity. Mean postoperative IOP was 13.8 +/- 2.6 mm Hg (range: 8 to 19 mm Hg). Mean overall endothelial cell loss was 3.4%.


CONCLUSIONS
Pars plana capsulectomy and vitrectomy with an infusion through sutureless clear cornea appears to be a safe and effective approach for thick PCO in pseudophakic children.
Xie
Lixin
L
State Key Lab Cultivation Base, Shandong Provincial Key Lab of Ophthalmology Shandong Eye Institute, Qingdao, Peoples Republic of China.
Huang
Yusen
Y
D002386:Cataract / Q000151:congenital / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications; D019591:Pseudophakia / Q000150:complications*; D014792:Visual Acuity; D014821:Vitrectomy