Dr. SASIKALA ELIZBETH ANILKUMAR

DR. KALPANA NARENDRAN

Abstract

We report a 14 yr old female child who underwent cataract surgery at 5 yr age and had presented with a drop in vision from 6/9to1/60 in the RE. Child was lost to follow up due to COVID Pandemic. Slit lamp examination showed turbid material in-between lens and posterior capsule. USG B scan showed normal study of the posterior segment. UBM showed in the bag IOL with posterior bowing of the posterior capsule. Both eyes IOP were normal. LE vision was 6/6, in the bag PCIOL and normal posterior segment. The child was taken for a surgical resection of the anterior capsule, drainage and evacuation of the turbid material followed by posterior continuous capsulorhexsis under general anaesthesia. Post-ope RE vision 6/6 and UBM showed flattening of the posterior capsule. Capsular bag distension syndrome in paediatric eyes are rarely reported unlike adult eyes. Nd:YAG laser posterior capsulotomy carries the risk of late endophthalmitis due to P.Acnes. Surgical drainage is safe option in children.