MANAGEMENT OF ANTERIOR CAPSULE IN CONGENITAL CATARACT WITH AUTOMATED VITRECTOMY CUTTER (VITRECTORHEXIS)

To evaluate the clinical efficacy and technique of vitrectorhexis in terms of anterior capsulotomy in children with congenital cataract.

Material and Methods: This Prospective, Non-comparative, Interventional study was conducted from July 2018 to April 2019 at Pediatric Eye Operation Theater, Ophthalmology Department, Bahawal Victoria Hospital, Bahawalpur. Total 30 eyes were included in this study.

Results: In our series, the age range was 0-8 years and the mean age was 2.97+3.08 years, 60% (n=18) were male and 40% (n=12) were female, frequency of clinical efficacy was recorded in 83.33% (n=25) while 16.67% (n=5) were not treated effectively (as per operational definition). Complications of vitrectorhexis revealed 13.33% (n=4) radial tear during performing anterior vitrectorhexis, 3.33% (n=1) radial tear during IOL implantation, 3.33% (n=1) conversion of anterior vitrectorhexis, 3.33% (n=1) small sized anterior vitrectorhexis and 3.33% (n=1). IOL implanted in ciliary sulcus while no patient was recorded with radial tear during irrigation/aspiration of lens matter, radial tear during removal of viscoelastic substance, IOL decentration and failure to implant IOL.

Conclusion: Vitrectorhexis is well suited method of anterior capulotomy in children with congenital cataract below 6 years of age.

Keywords: Congenital cataract, children, capsulotomy, vitrectorhexis, clinical efficacy