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Posterior vertical capsulotomy with optic entrapment of the intraocular lens in congenital cataracts--prevention of capsule opacification.
J Cataract Refract Surg. 2005 May; 31(5):886-94.JC

Abstract

PURPOSE

To present a modified surgical technique for preventing posterior capsule opacification (PCO) in children with congenital cataracts and to evaluate its long-term efficacy.

SETTING

Department of Ophthalmology, Medical University of Southern Africa, Medunsa, South Africa.

METHODS

Anterior and posterior vertical capsulotomy, with optic entrapment of the intraocular lens (IOL) by maintaining the anterior hyaloid, was performed in 68 cataractous eyes of children aged 2 months to 8 years (mean 3 years, 1 month). The posterior capsule was evaluated for at least 5 years for secondary opacification, IOL position, pigmentary deposits on the IOL optic, and the presence of synechias.

RESULTS

Sixty-eight eyes maintained a clear visual axis for 5 to 12 years (mean 9 years, 1 month) postoperatively. No secondary procedure was necessary. In all eyes, the IOL remained well centered and entrapped.

CONCLUSIONS

Posterior capsulotomy with optic entrapment of the IOL proved to be a safe and efficient surgical procedure for preventing PCO in children with congenital cataracts. Uniting the anterior and posterior capsule in front of the IOL limits the proliferation and migration of Elschnig pearls. An intact anterior hyaloid does not induce capsule opacification in association with optic entrapment; therefore, a vitrectomy is not indicated even in infants under age 5 years. Clear visual axis, centered IOL, and intact vitreous were achieved in this series; this enables a promising long-term prognosis for binocular visual development, especially because surgery was performed early.

Authors+Show Affiliations

Department of Ophthalmology, Medical University of Southern Africa, Medunsa, South Africa. mgrieshaber@uhbs.chNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15975452

Citation

Grieshaber, Matthias C., et al. "Posterior Vertical Capsulotomy With Optic Entrapment of the Intraocular Lens in Congenital Cataracts--prevention of Capsule Opacification." Journal of Cataract and Refractive Surgery, vol. 31, no. 5, 2005, pp. 886-94.
Grieshaber MC, Pienaar A, Stegmann R. Posterior vertical capsulotomy with optic entrapment of the intraocular lens in congenital cataracts--prevention of capsule opacification. J Cataract Refract Surg. 2005;31(5):886-94.
Grieshaber, M. C., Pienaar, A., & Stegmann, R. (2005). Posterior vertical capsulotomy with optic entrapment of the intraocular lens in congenital cataracts--prevention of capsule opacification. Journal of Cataract and Refractive Surgery, 31(5), 886-94.
Grieshaber MC, Pienaar A, Stegmann R. Posterior Vertical Capsulotomy With Optic Entrapment of the Intraocular Lens in Congenital Cataracts--prevention of Capsule Opacification. J Cataract Refract Surg. 2005;31(5):886-94. PubMed PMID: 15975452.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posterior vertical capsulotomy with optic entrapment of the intraocular lens in congenital cataracts--prevention of capsule opacification. AU - Grieshaber,Matthias C, AU - Pienaar,Ané, AU - Stegmann,Robert, PY - 2004/08/24/accepted PY - 2005/6/25/pubmed PY - 2005/8/3/medline PY - 2005/6/25/entrez SP - 886 EP - 94 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 31 IS - 5 N2 - PURPOSE: To present a modified surgical technique for preventing posterior capsule opacification (PCO) in children with congenital cataracts and to evaluate its long-term efficacy. SETTING: Department of Ophthalmology, Medical University of Southern Africa, Medunsa, South Africa. METHODS: Anterior and posterior vertical capsulotomy, with optic entrapment of the intraocular lens (IOL) by maintaining the anterior hyaloid, was performed in 68 cataractous eyes of children aged 2 months to 8 years (mean 3 years, 1 month). The posterior capsule was evaluated for at least 5 years for secondary opacification, IOL position, pigmentary deposits on the IOL optic, and the presence of synechias. RESULTS: Sixty-eight eyes maintained a clear visual axis for 5 to 12 years (mean 9 years, 1 month) postoperatively. No secondary procedure was necessary. In all eyes, the IOL remained well centered and entrapped. CONCLUSIONS: Posterior capsulotomy with optic entrapment of the IOL proved to be a safe and efficient surgical procedure for preventing PCO in children with congenital cataracts. Uniting the anterior and posterior capsule in front of the IOL limits the proliferation and migration of Elschnig pearls. An intact anterior hyaloid does not induce capsule opacification in association with optic entrapment; therefore, a vitrectomy is not indicated even in infants under age 5 years. Clear visual axis, centered IOL, and intact vitreous were achieved in this series; this enables a promising long-term prognosis for binocular visual development, especially because surgery was performed early. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/15975452/Posterior_vertical_capsulotomy_with_optic_entrapment_of_the_intraocular_lens_in_congenital_cataracts__prevention_of_capsule_opacification_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(04)01146-0 DB - PRIME DP - Unbound Medicine ER -