[Condition of the posterior capsule in pseudophakia in children].

PURPOSE: Evaluation of the posterior capsule transparency in children after congenital cataract surgery with posterior intraocular lens implantation.

MATERIAL AND

METHODS

Examination comprised 41 eyes of 29 patients with posterior IOLS, aged 5-17 years (mean 10.3). In all cases, posterior capsule was unimpaired during surgery.

RESULTS

During follow-up, (mean 27 months), 36.6% the eyes showed posterior capsule opacity of various degree. Neodymium YAG laser capsulotomy was performed in 13 cases and instrumental capsulotomy in 2. Opacity of the posterior capsule caused a decrease of visual acuity below 0.4. It improved after capsulotomy in all cases. No serious complications were observed.