Vitreous loss following infantile cataract surgery

An improved understanding of the role of the vitreous in ocular pathology has led to a more rational approach to the prevention and management of vitreous loss during infantile cataract extractions. Infantile cataract surgery, properly performed by modifications of the Scheie aspiration and Kelman phacoemulsification techniques, should be associated with an incidence of vitreous loss no greater than that for adult extractions by current intracapsular or extracapsular techniques. Preexisting ocular lesions, faulty technique, and an inexperienced operator all contribute to the occurrence of vitreous loss. Improved techniques, surgical expertise, and an understanding of the factors that predispose to vitreous loss can reduce its incidence. Proper management of vitreous loss will decrease or eliminate its untoward sequelae; eyes so managed can be visually rehabilitated with the same ease or difficulty as similar eyes in which vitreous was not lost. The authors do not, however, advocate either the accidental or intentional disturbance of the intact vitreous body.