Clinical observation of double capsulorhexis and dry anterior vitrectomy in congenital cataract

AIM: To investigate the incidence of posterior capsule opacification(PCO)in congenital cataract cases performed with phacoemulsification combined with double capsulorhexis and dry anterior vitrectomy. METHODS: Anterior and posterior membrane curvilinear capsulorhexis combined with dry anterior vitrectomy disciplined in phacoemulsification procedures was performed in 18 congenital cataract cases on 32 eyes. Foldable intraocular lens were implanted into capsular bag in 10 cases(16 eyes). The reaction of cornea, anterior chamber inflammation and transparency of were observed, post-op lasting for 6-24mo(mean 15mo).RESULTS: Transparent cornea and slightly inflammation of anterior chamber were observed in all eyes, while round pupils and transparency of optical axis were remained in most post-op cases. Meanwhile, slightly opacity of optical axis in 3 eyes, mildly pupil displacement in 4 eyes and posterior synechia of iris in 3 eyes were arisen post-operationally as well. CONCLUSION: Phacoemulsification combined with double capsulorhexis and dry anterior vitrectomy could effectively decrease the incidence rate of PCO and essentially benefit the recovery of post-op visual function in congenital cataract cases