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Mustafa Kemal Üniversitesi, Göz Hastalıkları A.D., Antakya, Yrd. Doç. Dr. Purpose: To evaluate pars plana capsulectomy (PPC) and anterior vitrectomy (AV) results in posterior capsule opacification (PCO), which can develop after cataract surgery, in pediatric and adult patients in which Nd:YAG laser capsulotomy cannot be performed and/or is not effective because of dense thickening of the posterior capsule.
Materials and Methods: Pediatric and adult patients with PPC and AV were included in the study in different groups retrospectively.
Results: Nine eyes of 6 pediatric patients and 6 eyes of 6 adults were included in the study. Mean age was 6.1 years (1-11) in the pediatric patients and 59.25 (23-80) in the adults. The mean period of PCO development was 7.6 months in the pediatric patients and 48.2 (2-60) months in the adults. In 7 eyes of 5 pediatric patients who were able to express visual acuity, preoperative best corrected visual acuity (BCVA) was logmar 1.16±0.44 (1-1.6) (Snellen equivalent SE: 0.05-0.1), while it was logmar 0.54±0.26 (0.2-1) (SE: 0.25-0.3) postoperatively. In adults preoperative BCVA was logmar 1.28±0.32 (1-1.6) (SE: finger counting at 3 meters) and it was logmar 0.80±0.2 (0.2-1) (SE: 0.16) postoperatively. At postoperative day one and at 13.6 months mean follow up, a clear optic axis and increase in BCVA were achieved in all eyes.
Conclusion: PPC with AV is a preferable management when Nd:YAG laser capsulectomy cannot be performed and/or with the presence of very severe capsule thickening or in cases with cortex reminant on capsule and in cases in which Nd:YAG laser capsulotomy is not effective. We think that performing nearly 5-mm diameter posterior capsulectomy is an important factor in obtaining long period success. Keywords : Cataract surgery, posterior capsule opacification, pars plana capsulectomy, anterior vitrectomy