A safe technique for in-the-bag intraocular lens implantation in pediatric cataract surgery.

European journal of ophthalmology

PubMedID: 25044136

Khokhar S, Sharma R, Patil B, Sinha G, Nayak B, Kinkhabwala RA. A safe technique for in-the-bag intraocular lens implantation in pediatric cataract surgery. Eur J Ophthalmol. 2014;0.
PURPOSE
To describe a safe technique for in-the-bag intraocular lens (IOL) implantation in pediatric cataract patients who undergo lens aspiration with primary posterior capsulorhexis and anterior vitrectomy.

METHODS
Sixty eyes of 45 consecutive patients with congenital/developmental cataract underwent lens aspiration with primary posterior continuous curvilinear capsulorhexis (PCCC) with anterior vitrectomy and in-the-bag IOL implantation using the described technique of IOL implantation using anterior capsule as support.

RESULTS
All eyes had stable IOL at the end of surgery and none of the eyes had lens decentration/dislocation in posterior vitreous.

CONCLUSIONS
Implantation of in-the-bag IOL is difficult in children who undergo primary PCCC with anterior vitrectomy. Our technique of implanting IOL by pushing it against the back surface of anterior capsule is a safe method and results in no complications related to faulty IOL implantation.