[Posterior continuous curvilinear capsulorhexis in congenital cataract with opaque posterior capsule].

OBJECTIVE

To study the management of the opacified posterior lens capsule in congenital cataract extraction with intraocular lens (IOL) implantation.

METHODS

Posterior continuous curvilinear capsulorhexis was performed on 36 eyes of congenital cataract with opaque posterior capsule. After the removal of cortical material and implantation of IOL, a perforation was made near the center of the posterior capsule through the equator of IOL, Healon was directed toward the opening and injected into the interspace between the posterior capsule and the anterior limiting membrane of the vitreous, and a 4 mm diameter posterior capsulorhexis was performed with a forceps.

RESULTS

All the eyes achieved a clear visual axis. There was vitreous prolapse in two eyes. IOL decentration did not occur in any case.

CONCLUSION

Posterior continuous capsulorhexis could remain the integrity of the peripheral capsular bag with a clear visual axis in the eye with congenital cataract and an opaque posterior capsule.