title: Posterior capsule management in congenital cataract surgery.
abstract: Management of the posterior capsule significantly affects the outcome of pediatric cataract surgery. Posterior capsule opacification (PCO) is rapid and virtually inevitable in very young children when adult-style cataract surgery is performed and the posterior capsule is left intact. In eyes with pediatric cataract, primary posterior capsulotomy and vitrectomy are considered routine surgical steps, especially in younger children. The site of intraocular lens (IOL) fixation and the surgical technique used also affect the prevalence of PCO. The present systematic review evaluates the options available to prevent PCO or ensure a clear central visual axis after pediatric cataract surgery. Newer approaches to posterior capsule management such as pars plicata posterior capsulorhexis, sutureless vitrectomy, sealed-capsule irrigation, and bag-in-the-lens IOL are discussed. Management of the posterior capsule in the presence of a preexisting posterior capsule defect and posterior capsule plaque and options to treat PCO are also reviewed.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Iladevi Cataract & IOL Research Center, theRaghudeep Eye Clinic, Memnagar, Ahmedabad, India. icirc@abhayvasavada.com
authors.forename: Abhay R
authors.initials: AR
authors.lastname: Vasavada
authors.forename: Mamidipudi R
authors.initials: MR
authors.lastname: Praveen
authors.forename: Marie-José
authors.initials: MJ
authors.lastname: Tassignon
authors.forename: Sajani K
authors.initials: SK
authors.lastname: Shah
authors.forename: Vaishali A
authors.initials: VA
authors.lastname: Vasavada
authors.forename: Viraj A
authors.initials: VA
authors.lastname: Vasavada
authors.forename: Jan
authors.initials: J
authors.lastname: Van Looveren
authors.forename: Ilse
authors.initials: I
authors.lastname: De Veuster
authors.forename: Rupal H
authors.initials: RH
authors.lastname: Trivedi
mesh_terms: D019923:Capsulorhexis; D002386:Cataract / Q000151:congenital* / Q000209:etiology; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular; D057852:Posterior Capsule of the Lens / Q000473:pathology* / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D014821:Vitrectomy