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Br J Ophthalmol 87:14-19 doi:10.1136/bjo.87.1.14
  • World views

Paediatric cataract blindness in the developing world: surgical techniques and intraocular lenses in the new millennium

Table 4

Recommended surgical steps to improve the long term visual outcome of children with cataracts, in the developing world

Surgical step Recommendation for patients aged 8 years or less Recommendation for patients aged more than 8 years
IA = irrigation and aspiration; CCC = continuous curvilinear capsulorhexis; PCCC = posterior continuous curvilinear capsulorhexis; PMMA = poly(methyl methacrylate); IOL = intraocular lens.
Anterior capsule Vitrectorhexis Manual CCC or vitrectorhexis
Lens removal Automated IA Manual or automated IA
Posterior capsule Vitrectorhexis Manual PCCC or vitrectorhexis
Vitreous Anterior vitrectomy No vitrectomy or anterior vitrectomy
IOL implantation PMMA IOL or acrylic IOL PMMA IOL or acrylic IOL

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