[Posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens in pediatric cataract].

OBJECTIVE

To assess the clinical effects of posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens in pediatric cataract.

METHODS

Fifty-one cases (83 eyes) received posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens. Preoperative and postoperative visual acuity and refractive error were recorded. Intraoperative and postoperative complications were observed. The follow-up period was from 6 to 36 months.

RESULTS

Implantation of optic capture of the posterior chamber intraocular lens was successfully performed in 75 eyes (90.4%). The mean postoperative best corrected distant visual acuity achieved 0.5 or better in 75 eyes (48.0%). No eyes with optic capture were found optic axis opaque. The major complications of optic capture were anterior chamber fibrous exudation, iris posterior synechia and lenticular precipitates.

CONCLUSION

Optic capture of the posterior chamber intraocular lens is safe and effective in the treatment of pediatric cataract to posterior continuous curvilinear capsulorhexis especially in the prevention of secondary opacification from the visual axis.