title: Outcomes of pediatric cataract surgery in anterior persistent fetal vasculature.
abstract: OBJECTIVE
  To report the intraoperative performance and postoperative outcomes in eyes with anterior persistent fetal vasculature (PFV).
  
  
  METHODS
  Iladevi Cataract & IOL Research Centre, India, and Filatov Institute Odessa, Ukraine.
  
  
  METHODS
  Prospective interventional case series.
  
  
  METHODS
  Eyes with anterior PFV had surgery using a standardized surgical technique. Plaque peeling was used for small plaques and partial excision for larger plaques. In eyes in which the entire lens converted into a fibrovascular tissue, extensive capsulectomy with anterior 2-port limbal vitrectomy was performed. Microphthalmic eyes had no intraocular lens implantation.
  
  
  RESULTS
  This study comprised 33 eyes. The mean age at surgery was 6.30 months ± 5.16 (SD). Microcornea was observed in 10 eyes (30.3%). Within the morphology of cataract, 10 eyes (30.3%) had the lens converted into fibrovascular mass, of which 4 had associated prominent ciliary process. Anterior continuous curvilinear capsulorhexis (CCC) and manual posterior CCC were performed in 23 eyes (69.7%) and 3 eyes (9.1%), respectively. Intraoperatively, posterior capsule plaque was seen in 20 eyes (60.6%). In 31 eyes (93.9%), 2-port limbal anterior vitrectomy was performed and in 2 eyes (6.1%), pars plana vitrectomy was performed. Intraocular lens implantation was performed in 16 eyes (48.5%); 17 eyes (51.5%) were left aphakic. Visual axis obscuration was observed in 6 eyes (18.2%). At the 3-year follow-up, visual acuity remained stable in 11 eyes (33.3%) and improved in 22 eyes (66.6%).
  
  
  CONCLUSIONS
  The results suggest that good visual outcomes can be obtained in PFV eyes after surgical intervention, with an acceptable rate of serious postoperative complications.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Iladevi Cataract & IOL Research Center, Memnagar, Ahmedabad, India. icirc@abhayvasavada.com
authors.forename: Abhay R
authors.initials: AR
authors.lastname: Vasavada
authors.forename: Shail A
authors.initials: SA
authors.lastname: Vasavada
authors.forename: Nadiya
authors.initials: N
authors.lastname: Bobrova
authors.forename: Mamidipudi R
authors.initials: MR
authors.lastname: Praveen
authors.forename: Sajani K
authors.initials: SK
authors.lastname: Shah
authors.forename: Vaishali A
authors.initials: VA
authors.lastname: Vasavada
authors.forename: Jeicce Valentina
authors.initials: JV
authors.lastname: Pardo A
authors.forename: Shetal M
authors.initials: SM
authors.lastname: Raj
authors.forename: Rupal H
authors.initials: RH
authors.lastname: Trivedi
mesh_terms: D001036:Aphakia, Postcataract / Q000209:etiology; D019923:Capsulorhexis / Q000379:methods*; D002675:Child, Preschool; D003315:Cornea / Q000002:abnormalities; D005260:Female; D006801:Humans; D007223:Infant; D007432:Intraoperative Period; D007903:Lens Capsule, Crystalline / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D008850:Microphthalmos / Q000209:etiology; D054514:Persistent Hyperplastic Primary Vitreous / Q000601:surgery*; D011184:Postoperative Period; D011446:Prospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy