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 |