Table of Contents
ISRN Ophthalmology
Volume 2013 (2013), Article ID 124754, 5 pages
Clinical Study

Dual Approach Using Vitrectorhexis Combined with Anterior Vitrectomy in Pediatric Cataract Surgery

Department of Ophthalmology, Faculty of Medicine, Mustafa Kemal University, Hatay, 31100 Antakya, Turkey

Received 4 December 2012; Accepted 8 January 2013

Academic Editors: F. M. Bandello and M. Nakazawa

Copyright © 2013 Özgür İlhan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate efficacy and safety of vitrectorhexis method for both anterior and posterior capsules combined with anterior vitrectomy in children with cataract. Methods. A retrospective chart review was performed for 19 children with cataract operated at a tertiary referral center. Dual approach including anterior and posterior segments was used during the surgery in terms of capsulotomy, intraocular lens (IOL) implantation, and anterior vitrectomy. Results. A total of 23 eyes of 19 patients were enrolled in the study. The mean age of the children was months (5–78). The mean postoperative followup duration was months (3–32). Intraoperative tear was observed only in one of 23 (4.3%) eyes during anterior capsulotomy. All of the patients had a clear visual axis and showed no IOL decentration. Conclusions. Dual approach using vitrectorhexis and anterior vitrectomy is an easy-to-perform technique that seems safe and effective in the short term for younger children.