Posterior capsulorhexis with anterior vitrectomy for congenital cataract

Objective:To investigate the clinical effects of posterior capsulorhexis with anterior vitrectomy(PCCC+AV) for congenital cataract. Methods:88 eyes of 55 congenital cataract children were followed up for 6 months to 3 years.42 eyes had lens aspiration,38 eyes of them combined with posterior capsulorhexis with anterior vitrectomy.44 eyes had lens aspiration with IOL implatation,15 eyes of them combined with posterior capsulorhexis with anterior vitrectomy.The condition of clear of optic axis,anterior chamber fibrous exudation,iris posterior synechia,IOL capture,macular edema and retina detachment in these eyes were recorded. Results:The incidence of optic axis opaque in the children with PCCC+AV was significantly lower than that in the children without PCCC+AV(P0 01),while the incidence of anterior chamber fibrous exudation,iris posterior synechia,IOL capture between these two group was no significant difference(P0 05).No child with macular edema and retina detachment was found. Conclusions:The posterior capsulorhexis with anterior vitrectomy for congenital cataract is a safe,easy and efficient method to prevent PCO,especially for the patient younger than 5 years old.