Short-term outcomes of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments.
OBJECTIVE
To evaluate the safety and efficacy of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments.


METHODS
A consecutive series of 57 paediatric patients (80 eyes) who underwent dry pars plana posterior capsulotomy and anterior vitrectomy with 25-gauge devices after in-the-bag intraocular lens (IOL) implantation were retrospectively reviewed.


RESULTS
The mean follow-up period was 13.7 (SD 8.3) months. All IOL were well centred in the capsular bags. No intraoperative complications were noted to be attributable to the small-gauge instruments. Postoperative hypotony (intraocular pressure <8 mm Hg) was observed in two eyes (2.5%), which spontaneously recovered within 3 days. Eight eyes (10%) had light fibrin reactions and two eyes (2.5%) had mild posterior synechiae. No reopacification of the visual axis, IOL capture, vitreous prolapse, choroidal detachment or retinal detachment was found during the follow-up.


CONCLUSIONS
Dry pars plana posterior capsulotomy with anterior vitrectomy using 25-gauge instruments is safe and effective for the management of posterior lens capsule and anterior vitreous in surgery for paediatric cataract.
Huang
Y
Y
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, 5 Yanerdao Road, Qingdao 266071, PR China.
Xie
L
L
D000293:Adolescent; D019923:Capsulorhexis / Q000295:instrumentation* / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular / Q000295:instrumentation / Q000379:methods; D033401:Microscopy, Acoustic; D018918:Phacoemulsification; D012189:Retrospective Studies; D012590:Sclera / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000295:instrumentation* / Q000379:methods; D014945:Wound Healing