Samin Hong1, Gong Je Seong, Sung Soo Kim. 1. Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, 146-92 Dogok-dong, Gangnam-gu, Seoul, Korea.
Abstract
OBJECTIVE: To assess long-term outcomes of posterior capsulectomy using a 25-gauge microincision vitrectomy system (25-GV) for preventing secondary visual axis opacification after congenital cataract surgery. STUDY DESIGN: Retrospective noncomparative case series. PARTICIPANTS: Nine eyes of 5 children who underwent posterior capsulectomy carried out with the use of a 25-GV during congenital cataract surgery. METHODS: After removal of congenital cataract with phacoemulsification and intraocular lens implantation, the posterior capsulectomy was performed using a 25-GV. Postoperative visual outcomes were analyzed. RESULTS: The mean follow-up period was 43.11 (SD 5.53) months. Eight eyes maintained a clear visual axis, but 1 eye required Nd:YAG capsulotomy to enlarge the opening of the capsulectomy at 7 months postoperatively. Postoperative visual acuity was maintained up to 4 years without any other complications. CONCLUSIONS: Posterior capsulectomy using a 25-GV offers an option for preventing secondary visual axis opacification after congenital cataract surgery.
OBJECTIVE: To assess long-term outcomes of posterior capsulectomy using a 25-gauge microincision vitrectomy system (25-GV) for preventing secondary visual axis opacification after congenital cataract surgery. STUDY DESIGN: Retrospective noncomparative case series. PARTICIPANTS: Nine eyes of 5 children who underwent posterior capsulectomy carried out with the use of a 25-GV during congenital cataract surgery. METHODS: After removal of congenital cataract with phacoemulsification and intraocular lens implantation, the posterior capsulectomy was performed using a 25-GV. Postoperative visual outcomes were analyzed. RESULTS: The mean follow-up period was 43.11 (SD 5.53) months. Eight eyes maintained a clear visual axis, but 1 eye required Nd:YAG capsulotomy to enlarge the opening of the capsulectomy at 7 months postoperatively. Postoperative visual acuity was maintained up to 4 years without any other complications. CONCLUSIONS: Posterior capsulectomy using a 25-GV offers an option for preventing secondary visual axis opacification after congenital cataract surgery.