Delhi Journal of Ophthalmology

Postoperative Outcomes of “Optic Capture” Technique of IOL Implantation In Pediatric Cataract Surgery

Vaishali Prajapati1, Kalpit Shah1, Kushagra Jain2
1M and J Western Regional Institute of Ophthalmology, Ahmedabad, Gujarat, India; 2Narayana Nethralaya, Bengaluru, Karnataka, India.

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Vaishali Prajapati 
MS, DNB
21, Shreenagar Society, Opp. Keshav Bag Vadi, Navavadaj, Ahmedabad - 380013, Gujarat, India.
Email id: drvaprajapati@gmail.com


Published Online: 31-JAN-2019
DOI: http://dx.doi.org/10.7869/djo.412

Abstract
Purpose: To evaluate the efficacy of posterior continuous curvilinear capsulorhexis (PCCC) with optic capture of the posterior chamber intraocular lens (PC IOL) without anterior vitrectomy in preventing secondary opacification of the visual axis following pediatric cataract surgery in age more than 
2 years.
Methods: In a prospective evaluation, preoperative and postoperative visual acuity and refractive error were recorded. Intraoperative and postoperative complications were observed. The surgical technique was posterior curvilinear capsulorhexis with optic capture with three piece hydrophobic IOL (MA60AC) after cataract extraction. The incidence of posterior capsular opacification and other complications of pediatric cataract surgery were studied. The follow-up period was from 6 to 36 months.
Results: In 75 consecutive eyes of 45 children operated with age range 2 to 8 years (mean, 3.3 years), there was no significant opacification of the visual axis at a mean follow-up of 19 months after surgery (range, 6-36 months).
Conclusion: The posterior continuous curvilinear capsulorhexis with posterior optic capture with three-piece hydrophobic lens without anterior vitrectomy is safe and effective in the treatment of pediatric cataract in the prevention of secondary opacification of the visual axis.

Keywords :Pediatric cataract, Posterior Continuous Curvilinear Capsulorhexis, Visual Axis Opacification