outcomes of lensectomy, posterior capsulotomy, anterior vitrectomy and posterior chamber intraocular lens implantation in pediatric cataracts

purpose: to evaluate the visual outcomes and complications of lensectomy, posterior capsulotomy, anterior vitrectomy and acrylic hydrophobic posterior chamber intraocular lens (pciol) implantation for congenital or developmental cataract in children 6-9 years of age. methods: in a prospective interventional case series, 13 eyes of 10 children with congenital or developmental cataract underwent the above-mentioned surgery. patients were followed for at least six months postoperatively. pre- and postoperative visual acuity as well as intra- and postoperative complications were evaluated. results: mean age was 7.8±1.2 (range 6-9) years. patients were followed for a mean period of 13.3±7 months after surgery. mean preoperative visual acuity was 1±0.1 logmar which reached 0.1±0.1 logmar at final follow up (p<0.0001). no intraoperative complication occurred. all cases had clear visual axis at the last visit. conclusion: lensectomy, posterior capsulotomy, anterior vitrectomy and pciol implantation in 6-9 years old children with congenital or developmental cataract is a safe procedure and effective in terms of visual improvement.