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Comparison of manual capsulorhexis and 25-gauge vitrectorhexis in pediatric cataract surgery: A pilot study

Journal of Pediatric Ophthalmology & Strabismus Oct 04, 2019

Raina UK, Anjum R, Gupta SK, et al. - In pediatric cataract surgery with intraocular lens (IOL) implantation, researchers compared short-term visual outcomes (best corrected visual acuity [BCVA]), visual axis opacification, anterior (ACCC) and posterior (PCCC) continuous curvilinear capsulorhexis size, shape, and extension, and their decentration between manual capsulorhexis and 25-gauge vitrectorhexis. For this investigation, they randomly selected 30 eyes of children (aged 3 to 8 years) with developmental cataract for ACCC and PCCC by manual capsulorhexis forceps and 25-gauge vitrectomy cutter followed by IOL implantation and limited anterior vitrectomy. No statistically significant difference was found between BCVA, visual axis opacification, size of the ACCC and its decentration, extension of the rhexis, and size of the PCCC and its decentration between the two methods. BCVA, visual axis opacification, and ACCC and PCCC size, shape, and decentration from the center of the IOL were comparable in both groups, making 25-gauge vitrectorhexis a good option to manual capsulorhexis.
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