Retrospective study of 67 cases of secondary pars plana posterior capsulotomy.

A technique of late pars plana posterior capsulotomy following extracapsular cataract extraction and posterior chamber lens implantation is described. The results and complications of 67 cases with an average follow-up period of approximately 14 months are reported. The incidence of cystoid macular oedema following this procedure was 2.9%, with no incidence of retinal detachment. The procedure appears to be an acceptable method of treating a thickened posterior capsule, and in the absence of a neodymium YAG laser and in a small unit it could prove to be a reasonable substitute.