A safe technique for in-the-bag intraocular lens implantation in pediatric cataract surgery
Sudarshan Khokhar1, Reetika Sharma, Bharat Patil
1Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India.
Purpose:
To describe a safe technique for in-the-bag intraocular lens (IOL) implantation in pediatric cataract patients who undergo lens aspiration with primary posterior capsulorhexis and anterior vitrectomy.
Methods:
Sixty eyes of 45 consecutive patients with congenital/developmental cataract underwent lens aspiration with primary posterior continuous curvilinear capsulorhexis (PCCC) with anterior vitrectomy and in-the-bag IOL implantation using the described technique of IOL implantation using anterior capsule as support.
Results:
All eyes had stable IOL at the end of surgery and none of the eyes had lens decentration/dislocation in posterior vitreous.
Conclusions:
Implantation of in-the-bag IOL is difficult in children who undergo primary PCCC with anterior vitrectomy. Our technique of implanting IOL by pushing it against the back surface of anterior capsule is a safe method and results in no complications related to faulty IOL implantation.
