Paediatric cataract implant surgery outcome

Abstract

This study evaluated the surgical outcome of various surgical technique in paediatric cataract implant surgery, at Jakarta Eye Center, Jakarta, Indonesia. This was a retrospective study of 57 eyes in 44 children who had primary cataract implants surgery. Three surgical techniques used were : 1. Extracapsular cataract extraction with intraocular lens implantation with intact posterior capsule which was performed on 21 eyes (group 1). 2. Extracapsular cataract extraction with intraocular lens implantation and posterior capsulorhexis (PCCC) and optic capture which was performed on 24 eyes (group 2). 3. Extracapsular cataract extraction with intraocular lens implantation, posterior capsulorhexis and anterior vitrectomy which was performed on 24 eyes (group 3). All patients were followed up more than one year. Our results showed that posterior capsule opacity (PCO) was developed in 20 eyes with intact capsules in group 1. All eyes had a clear visual axis in group 2. PCO developed only in one eye in group 3. In conclusion,  PCCC and optic capture with or without anterior vitrectomy are effective methods in preventing PCO in infant and children. (Med J Indones 2003; 12: 21-6)

Keywords: posterior capsule opacification, posterior capsulorhexis, optic capture, anterior vitrectomy