DR. AMIT MOHAN

DR. MANJU GAJRAJ

Abstract

This study aimed to evaluate the intra and postoperative complications of intraocular lens (IOL) implantation with posterior optic buttonholing (POBH) in children that had undergone phacoemulsification irrigation/aspiration for congenital/developmental cataract and experienced complication of anterior capsulorrhexis extension (ACE). A total of 25 eyes of 21 patients were included in the study. A foldable 3-piece IOL was implanted into the bag/ciliary sulcus with primary posterior capsulorrhexis (PPC) and POBH. The visual acuity improved from 2.12±0.69 log MAR to 1.38±0.49 log MAR at 6 months follow up. Post-operative complications included heightened post-operative inflammation in 3 patients and temporary corneal oedema in 2 patients. Only 1 patient had developed PCO at 6 months follow up with mild tilt, while the rest 24 eyes had no PCO formation and adequate IOL centration.

This study indicate that a 3-piece foldable IOL implantation with POBH is a feasible option for ACE.