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Short-term outcomes of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments
  1. Y Huang,
  2. L Xie
  1. State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Qingdao, China
  1. Correspondence to Professor L Xie, Shandong Eye Institute, 5 Yanerdao Road, Qingdao 266071, PR China; lixin_xie{at}


Aim To evaluate the safety and efficacy of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments.

Methods A consecutive series of 57 paediatric patients (80 eyes) who underwent dry pars plana posterior capsulotomy and anterior vitrectomy with 25-gauge devices after in-the-bag intraocular lens (IOL) implantation were retrospectively reviewed.

Results The mean follow-up period was 13.7 (SD 8.3) months. All IOL were well centred in the capsular bags. No intraoperative complications were noted to be attributable to the small-gauge instruments. Postoperative hypotony (intraocular pressure <8 mm Hg) was observed in two eyes (2.5%), which spontaneously recovered within 3 days. Eight eyes (10%) had light fibrin reactions and two eyes (2.5%) had mild posterior synechiae. No reopacification of the visual axis, IOL capture, vitreous prolapse, choroidal detachment or retinal detachment was found during the follow-up.

Conclusions Dry pars plana posterior capsulotomy with anterior vitrectomy using 25-gauge instruments is safe and effective for the management of posterior lens capsule and anterior vitreous in surgery for paediatric cataract.

  • Anterior vitrectomy
  • cataract
  • child health (paediatrics)
  • children
  • lens and zonules
  • treatment surgery

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  • Funding This study was supported by the National Natural Science Foundation of China (30600698), National 11th Five-Year Science and Technology Supporting Projects (2006BAI02B04), and the Qingdao Municipal Science and Technology Bureau (07-2-3-8-jch).

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Ethics approval was obtained from the Ethics Committee of Shandong Eye Institute.

  • Provenance and peer review Not commissioned; externally peer reviewed.