Comparison between Limbal and Pars Plana Approaches Using Microincision Vitrectomy for Removal of Congenital Cataracts with Primary Intraocular Lens Implantation

Figure 1

(a) Lensectomy was performed after a central anterior capsulotomy of 5.5 mm diameter using a 23-gauge vitrectomy cutter via a limbal incision. A limbal port incision was made for infusion to maintain the anterior chamber. The eye was positioned using a pair of forceps. (b) Cross-sectional diagram shows the lensectomy procedure. (c) Anterior vitrectomy after a posterior capsulotomy of 4.5 mm diameter. (d) Cross-sectional diagram shows the anterior vitrectomy procedure. (e) The 12 o’clock limbal incision was enlarged and a one-piece foldable IOL was implanted into the capsule bag. (f) Cross-sectional diagram shows the IOL implantation procedure (AV = anterior vitrectomy; AC = anterior capsulotomy; PC = posterior capsulotomy).

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