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Posterior capsulotomy, optic entrapment effective in pediatric cataract

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A posterior vertical capsulotomy and optic entrapment of the IOL was a safe and efficient surgical procedure for preventing posterior capsular opacification in children with congenital cataracts, according to Matthias C. Grieshaber, MD, FEBO, and colleagues.

Dr. Grieshaber and colleagues performed the study in 68 cataractous eyes of children ages 2 to 8 years old to evaluate the long-term efficacy of the technique for preventing PCO in children. The technique included anterior and posterior vertical capsulotomy with optic entrapment of the IOL, while maintaining the anterior hyaloid face. Follow-up was at least 5 years after the procedure.

Eyes in the study maintained a clear visual axis for 5 to 12 years postoperatively, and no secondary procedure was necessary. The IOLs remained centered and entrapped.

“This enables a promising long-term prognosis for binocular visual development, especially because the surgery was performed early,” the authors said.

The study is published in the May issue of the Journal of Cataract & Refractive Surgery.