[Dry pars plana capsulotomy and anterior vitrectomy using 25-gauge vitrectomy system during children cataract surgery]. 2009

Li-xin Xie, and Yu-sen Huang
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Qingdao 266071, China. lixinxie@public.qd.sd.cn

OBJECTIVE To describe the initial surgical experience and report the safety and feasibility of dry pars plana capsulotomy and anterior vitrectomy using a 25-gauge vitrectomy system in pediatric cataract surgery. METHODS This was a prospective case series study. After anterior continuous curvilinear capsulorhexis (ACCC) and phacoemulsification with intraocular lens (IOL) implantation in the capsule for all patients, a pars plana capsulotomy and anterior vitrectomy was performed with a 25-gauge vitrectomy system using a dry technique in 40 eyes of 30 children with cataracts. RESULTS All procedures were uneventful and all IOLs were implanted in the capsular bag. No intraoperative complications were noted attributable to the small-gauge instruments. The average follow-up period was eight months (range, 4 to 30). Postoperative intraocular pressure remained stable in most cases, except two eyes (5%) with transient hypotony during the first day after surgery. The postoperative inflammatory response was mild. Ultrasound biomicroscopy showed complete healing of the sclerotomy at four weeks after surgery. No posterior synechia, posterior capsule opacification, IOL capture, vitreous prolapse, choroidal detachment or retinal detachment was observed throughout the follow-up period. CONCLUSIONS Dry pars plana capsulotomy and anterior vitrectomy using a 25-gauge vitrectomy system is safe and effective for the management of posterior lens capsules and anterior vitreous in pediatric cataract surgery. Prospective and comparative study is recommended to evaluate this procedure and traditional method.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007910 Lenses, Intraocular Artificial implanted lenses. Implantable Contact Lens,Lens, Intraocular,Contact Lens, Implantable,Intraocular Lens,Intraocular Lenses,Lens, Implantable Contact
D008297 Male Males
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D002387 Cataract Extraction The removal of a cataractous CRYSTALLINE LENS from the eye. Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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