Basti et al . (Ophthalmology1996;103(5):713-20) compared three methods of management of pediatric cataract: lensectomy anterior vitrectomy (LAV), extracapsular cataract extraction with IOL implantation (ECCE + IOL) and ECCE, primary posterior capsulotomy, anterior vitrectomy with IOL (ECCE + PPC + AV + IOL). They concluded that ECCE + PPC + AV+ IOL was conducive to at least short-term maintenance of a clear visual axis, provided optimum refractive correction, and was not associated with increased risk of short-term complications.
Eckstein et al . (Br J Ophthalmol. 1999; 83(5): 524-529) performed a randomized clinical trial of lensectomy versus lens aspiration and primary capsulotomy for children with bilateral cataract. They concluded that lens aspiration with PPC gives an acceptable visual outcome, provided there is good follow-up to manage capsule opacification. They added that if secondary intervention is not possible owing to poor compliance with follow-up, then lensectomy is likely to give better long-term visual rehabilitation.
Chee et al . (J Cataract Refract Surg. 2009;35(4):720-4) reported that the 25-G vitrectomy system appears safe and effective for the management of infantile cataract. Advantages include more precise manipulations with smaller instruments in infant eyes, a more stable anterior chamber, and less postoperative astigmatism.
Meier et al . (Graefes Arch Clin Exp Ophthalmol. 2001;239(9):649-55) also reported that pars plana or pars plicata lentectomy is a suitable and safe method for treating cataract in children.
Welcome 