Primary Posterior Capsulotomy with Anterior Vitrectomy and Posterior Chamber Lens in Childhood Cataract - A New Approach to the Problem

Abstract

To evaluate the safety and efficacy of primary posterior capsulectomy with anterior Vitrectomy and IOL implantation in congenital cataract. Fifty case of congenital cataract underwent primary posterior capsulotomy with anterior vitrectomy and IOL implantation during a period of 10 months in the Institute of Ophthalmology, Mayo Hospital, Lahore. Postoperative follow-up ranges from 6 to 12 months. A dramatic fall in postoperative uveitis were recorded in majority of cases. At mean follow-up period of 5 weeks all eyes had a clear central visual area. Primary posterior capsulotomy with anterior vitrectomy and IOL implantation appeared to successfully prevent secondary pacification of visual axis by after cataract.