Completion Rate of Primary Posterior Continuous Curvilinear Capsulorhexis and Vitreous Disturbance During Congenital Cataract Surgery

Triamcinolone-assisted vitrectomy in pediatric cataract surgery: Intraoperative effectiveness and postoperative outcome

“…After cortex removal was complete, the capsular bag was inflated with sodium hyaluronate and posterior capsulorhexis was performed manually (in a majority of the cases) as described elsewhere. 13,14 Subsequently, a 2-port limbal anterior vitrectomy was performed with the Alcon Infiniti Vision System (Alcon Laboratories, Fort Worth, TX) through the paracentesis incisions using a maximum cut rate of 800, an aspiration flow rate of 25 cc/min, and a vacuum of 400 mm Hg. The capsular bag was inflated with a high viscosity viscoelastic.…”

Surgical approaches to posterior polar cataract: a review

“…28 High-viscosity viscoelastic sodium hyaluronate is injected around the area of the initial puncture to achieve a flat or concave capsule. 29,30 The ends of the tear are grasped with microforceps (ASICO, Westmont, IL, USA) and moved circumferentially to create a circular opening in the posterior capsule. The end result should be a PCCC concentric to and smaller than the anterior capsulorhexis.…”

Subtle signs of an intact anterior vitreous face during pediatric cataract surgery

“…6 As Gimbel and DeBroff 13 observed, an excessive injection through the central puncture may make the posterior capsule convex and this can direct the tear peripherally. In a study by Dholakia et al, 6 primary posterior capsulorhexis was completed in all the eyes and anterior vitreous face disturbance during manual PCCC was reported in only 5 of 106 eyes (4.7%) of children younger than 2 years of age. A few authors have demonstrated the role of the anterior vitreous reticular response, which is not visually significant by itself but might lead to opacification of the visual axis.…”

“…To avoid the obscuration, primary posterior continuous curvilinear capsulorhexis (PCCC) with or without vitrectomy is recommended. [1][2][3][4] Manual PCCC is a technically demanding procedure and frequently leads to anterior vitreous face disturbance 5,6 The status of the anterior vitreous face, whether intact or disturbed, is important in the management of pediatric cataract. In eyes with an intact anterior vitreous face, vitrectomy can be avoided.…”