[Features of cataract surgery in children and adolescents]

The postoperative period following extracapsular cataract extraction in children and young people is as a rule characterized by opacities of the posterior capsule of the lens and fibrosis of anterior borderline vitreous membrane, requiring reoperations. The key factor in prevention of reoperations in surgery for congenital cataracts and cataracts of different etiology in children and youths is primary posterior capsulorrhexis with anterior vitrectomy. Posterior capsulorrhexis without anterior vitrectomy is recommended for patients aged over 14 years, in whom vitreous fibrosis is less probable.