Emmetropization after lensectomy and anterior vitrectomy for persistent hyperplastic primary vitreous cataract.

PURPOSE: To report the case of a 2-year-old boy whose aphakic eye became emmetropic 15 months after lensectomy with anterior vitrectomy for a classic persistent hyperplastic primary vitreous cataract.

METHODS

Retrospective case report.

RESULTS

Emmetropization of the aphakic eye was caused by corneal steepening and axial elongation. At 2 years old, the child would fixate and follow with either eye.

CONCLUSIONS

In this patient, the fortunate combination of axial elongation and corneal steepening resulted in the aphakic eye's developing a plano refraction and thus becoming more amenable to amblyopia treatment.