Posterior capsulectomy using a 25-gauge microincision vitrectomy system for preventing secondary opacification after congenital cataract surgery: outcome up to 4 years

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.