Pediatric cataract surgery and intraocular lens implantation: a new technique for preventing or excising postoperative secondary membranes.

This report describes a series of six children who had a retropseudophakic vitrectomy performed via a limbal approach (limbal approach retropseudophakic vitrectomy, LARV). This technique ensures a permanently clear visual axis when performed at the time of cataract/implant surgery and can also be used to excise secondary membranes in patients who have had prior cataract extraction and intraocular lens implantation. A modification of this method permits the retrolenticular opacity in children with persistent hyperplastic primary vitreous (PHPV) to be relocated or excised at the time of cataract or cataract/implant surgery.