PP298 : USE OF ND YAG LASER IN PRIMARY POSTERIOR CAPSULOTOMY IN PEDIATRIC CATARACT SURGERY

Dr.JERRY JOSEPH

Aim-To evaluate the effectiveness of primary Nd YAG capsulotomy in pediatric cataract.

Methods-It’s a retrospective study done in our hospital.We reviewed clinical records of 11 patients(19 eyes)between the age of 3-11 years with congenital cataract who had undergone cataract surgery between 2012-16.All the cases had undergone phacoemulsification with foldable acrylic IOL and the posterior capsule was left intact followed by a Nd YAG capsulotomy after one to two weeks time under mild sedation.

Result-All 19 eyes had a clear visual axis at last follow up.No eye developed posterior capsular opacification or required any further procedure.None of the eyes had any complications like posterior synechiae formation, glaucoma,cystoid macular edema,retinal detachment.

Conclusion-We propose that leaving the vitreous undisturbed and performing a yag capsulotomy later is safer and effective than a primary surgical posterior rhexis with vitrectomy especially in children more than 3 years.