Incidence, management, and postoperative outcomes in pediatric eyes with coexisting posterior capsule plaque and cataract.
OBJECTIVE
To determine the incidence and evaluate the management and postoperative outcomes of posterior capsule plaque in pediatric eyes with cataract.


METHODS
Iladevi Cataract & IOL Research Centre, Ahmedabad, India.


METHODS
Cohort study.


METHODS
This study evaluated consecutive eyes of children aged 1 month to 15 years having cataract surgery. In cases of posterior capsule plaque, plaque peeling (smaller plaque) or posterior vitrectorhexis (larger plaque) was performed. Intraocular lenses (IOLs) were implanted in all except microphthalmic eyes. The postoperative observations included visual axis obscuration and IOL decentration.


RESULTS
Posterior capsule plaque was observed in 90 (13.4%) of 670 eyes (63 [13.2%] of 475 children). Of eyes with posterior capsule plaque, 70 had total white mature cataract and 20 had posterior subcapsular cataract. Plaque peeling was performed in 41 eyes (45.5%) and partial excision of the plaque with a vitrectome in 49 eyes (54.4%). The mean follow-up was 24.03 months ± 2.68 (SD). Of the 60 eyes that had an IOL, 54 (90%) had in-the-bag implantation and 6 (10%) had ciliary sulcus implantation. Postoperatively, there was no IOL decentration. Visual axis obscuration developed in 6 eyes (6.7%).


CONCLUSIONS
Posterior capsule plaque was frequently observed in pediatric cataractous eyes, especially in eyes with total cataract. After plaque peeling or plaque removal with a vitrectome, the IOL was stable in the capsular bag and the visual axis was clear.
Iladevi Cataract & IOL Research Centre, Raghudeep Eye Clinic, Ahmedabad, India.
Mamidipudi R
MR
Praveen
Sajani K
SK
Shah
Abhay R
AR
Vasavada
Viraj A
VA
Vasavada
Priyadarshi K
PK
Asnani
Ishtiaque
I
Anwar
Rupal H
RH
Trivedi
D000293:Adolescent; D002386:Cataract / Q000151:congenital* / Q000628:therapy; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D019654:Lens Implantation, Intraocular; D008297:Male; D057852:Posterior Capsule of the Lens / Q000473:pathology* / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D055675:Viscosupplements / Q000008:administration & dosage; D014821:Vitrectomy
D055675:Viscosupplements