Abstract
AIM: To compare the outcome of management of Pediatric cataract with or without Primary Posterior Capsulotomy and Anterior Vitrectomy MATERIAL & METHODS: This prospective, randomized clinical study was undertaken in the institute. 30 eyes of 27 children in the age group of 4 to 14 yrs underwent cataract extraction. Phaco aspiration & IOL (Acrys of Foldable IOL) implantation was done. The patients were consecutively randomized into two groups. Group A included 15 children where primary posterior capsulotomy (PPC) and anterior vitrectomy with Intraocular Ocular Lens implantation was performed. Group B comprised 15 children in whom the posterior capsule was left intact. Postoperative visual acuity, visual axis opacification (VAO) and possible complications were analyzed. RESULTS: Visual acuity was better in the group with Posterior capsulotomy and Anterior vitrectomy as the difference in best corrected visual acuity between the two groups was statistically significant at 6weeks (p value =0.001) and highly significant at 6months (p=0.0001).Visual axis opacification as graded by posterior capsular opacity was significantly high in Group B as compared to Group A. The difference in the mean intraocular pressure postoperatively between the two groups was not statistically significant (p>0.5). CONCLUSION: Primary posterior capsulotomy and anterior vitrectomy with capsular bag in the bag implantation of IOL results in better visual acuity and significantly helps to maintain a clear visual axis in children with cataract.
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