title: Posterior Capsular Opacification in Preschool- and School-Age Patients after Pediatric Cataract Surgery without Posterior Capsulotomy.
abstract: OBJECTIVE
  We aimed to evaluate the development of posterior capsular opacification (PCO) in preschool- and school-age children with cataract who underwent cataract surgery without posterior capsulotomy and anterior vitrectomy.
  
  
  METHODS
  The records of 30 eyes of 21 patients who underwent pediatric cataract surgery and intraocular lens (IOL) implantation were retrospectively reviewed. Patients' age, PCO status and duration, need for neodymium-doped yttrium aluminium garnet (Nd:YAG) laser treatment based on coverage of visual axis, and follow-up period were recorded.
  
  
  RESULTS
  The mean age of the patients was 7.6±2.83 (4-12) years. Unilateral cataract surgery and IOL implantation were performed in 12 patients (57.14%) and bilateral cataract surgery and IOL implantation were performed in nine patients (42.86%). Average follow-up time was 17.7±22.67 (3-83) months. PCO developed in 21 eyes (70%) and covered the visual axis in 15 eyes (50%), which therefore required Nd:YAG laser posterior capsulotomy. The mean duration of postoperative PCO development was 8.91±18.7 months (1 week-71 months).
  
  
  CONCLUSIONS
  We believe that with adequately experienced surgeons, performing both cataract surgery and posterior capsulotomy with anterior vitrectomy in the same session is appropriate for selected preschool- and school-age children with cataract.
authors.affiliation: Yüzüncü Yıl University Faculty of Medicine, Department of Ophthalmology, Van, Turkey.
authors.forename: Muhammed
authors.initials: M
authors.lastname: Batur
authors.affiliation: Ondokuz Mayıs University Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey.
authors.forename: Adem
authors.initials: A
authors.lastname: Gül
authors.affiliation: Yüzüncü Yıl University Faculty of Medicine, Department of Ophthalmology, Van, Turkey.
authors.forename: Erbil
authors.initials: E
authors.lastname: Seven
authors.affiliation: Ondokuz Mayıs University Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey.
authors.forename: Ertuğrul
authors.initials: E
authors.lastname: Can
authors.affiliation: Yüzüncü Yıl University Faculty of Medicine, Department of Ophthalmology, Van, Turkey.
authors.forename: Tekin
authors.initials: T
authors.lastname: Yaşar
keywords: Pediatric cataract; posterior capsular opacification; posterior capsulotomy