Outcomes of Lensectomy, Posterior Capsulotomy, Anterior Vitrectomy and Posterior Chamber Intraocular Lens Implantation in Pediatric Cataracts

To evaluate the visual outcomes and complications of lensectomy, posterior capsulotomy, anterior vitrectomy and Acrylic hydrophobic posterior chamber intraocular lens (PCIOL) implantation for congenital or developmental cataract in children 6-9 years of age. In a prospective interventional case series, 13 eyes of 10 children with congenital or developmental cataract underwent the above-mentioned surgery. Patients were followed for at least six months postoperatively. Pre- and postoperative visual acuity as well as intra- and postoperative complications were evaluated. Mean age was 7.8±1.2 (range 6-9) years. Patients were followed for a mean period of 13.3±7 months after surgery. Mean preoperative visual acuity was 1±0.1 LogMAR which reached 0.1±0.1 LogMAR at final follow up (P<0.0001). No intraoperative complication occurred. All cases had clear visual axis at the last visit. Lensectomy, posterior capsulotomy, anterior vitrectomy and PCIOL implantation in 6-9 years old children with congenital or developmental cataract is a safe procedure and effective in terms of visual improvement.