This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (19)  • Contact me when this article is cited  Related Content  • Similar articles in this journal

Arch Ophthalmol. 2000;118:850-851.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Intraocular lens implantation in children has become increasingly common after cataract surgery with encouraging visual results.¹ However, thickening of the posterior capsule along the visual axis remains a common and major problem that can lead to irreversible amblyopia.² Laser capsulotomy is not always possible for pediatric patients and surgical removal is often necessary. The thickened membrane can be approached anteriorly through the limbus or posteriorly through the pars plana. A limbal approach can render the intraocular lens unstable and the pars plana approach is usually more difficult owing to the lower scleral rigidity in children.³ It is more common for the eyeball to collapse with leakage through the wounds intraoperatively. Sutureless pars plana vitrectomy through self-sealing sclerotomies has been successfully performed in adults.⁴ This study aimed at evaluating prospectively the safety and efficacy of sutureless pars plana anterior vitrectomy through self-sealing sclerotomies in children with thick posterior pseudophakic membrane.

Report of a Case

A . . . [Full Text of this Article]

Comment
Dennis S. C. Lam, FRCS, FRCOphth; John K. H. Chua, MBBS, FRCS; Alfred T. S. Leung, FRCS, FRCOphth; Dorothy S. P. Fan, MBChB, FRCS; Joan S. K. Ng, MBChB, FRCS
Hong Kong, China

Srinivas K. Rao, MD
Chennai, India

Corresponding author: Dennis S. C. Lam, FRCS, RECOphth, , Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, 147K, Argyle St, Kowloon, Hong Kong,China (e-mail: dennislam@cuhk.edu.hk).