Aphakic cystoid macular edema: occurrence in infants and children after transpupillary lensectomy and anterior vitrectomy
C. S. Hoyt and B. Nickel
Twenty-seven children and infants underwent surgery for bilateral infantile
cataracts. In each infant, the lens in one eye was removed by discission
and aspiration, and the other lens was removed by lensectomy and anterior
vitrectomy. Ten of 27 eyes undergoing lensectomy and vitrectomy developed
aphakic cystoid macular edema; in only one eye that underwent discission
and aspiration did macular edema develop. Six of the eyes of the first
group developed persistent cystoid macular edema, of which four seem to be
visually important. Further long-term studies of the prevalence and
functional importance of cystoid macular edema after lensectomy and
anterior vitrectomy in children are needed. We do not presently advocate
this technique except in the treatment of complicated infantile cataracts.
