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Visual outcome in management of posterior capsular thickening by anterior vitrectomy through limbal route

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Session Details

Session Title: IOL technology/New IOLs etc.

Session Date/Time: Saturday 13/09/2014 | 08:30-10:30

Paper Time: 09:56

Venue: Boulevard A

First Author: : A.Sami PAKISTAN

Co Author(s): :    A. Baqi   M. Anwar           

Abstract Details


To evaluate the safety efficacy and visual outcome in the management of primary posterior capsulotomy through limbus.


Institute of opthalmology/Mayohospital Lahore


This prospective intervention case series was conducted in Institute of Ophthalmology/Mayo hospital Lahore from January 2012 to January 2014. Complete ophthalmic examination of anterior and posterior segments including assessment of type of posterior capsular opacification, visual acuity, intraocular pressure and B scan were carried out. This study included 30 eyes of 28 patients who underwent anterior vitrectomy and capsulotomy performed through limbus. Mean follow up was 6 months. Surgical techniques, per operative and postoperative complications were recorded. Final visual acuity was also recorded. Outcome measures were assessment of visual acuity and complications.


The study included 30 eyes of 28 patients with posterior capsular thickening who were treated with anterior vitrectomy with capsulotomy through limbal approach. There were 14 (47 %) male and 16 (53%) female eyes. The mean follow up was 6 months (ranges from 3 to 24 months). In 12 eyes the intraocular lenses were implanted including 4 eyes (33%) with anterior chamber lens implantation and in 8 eyes (67%) with posterior chamber lens implantation. Visual acuity was improved in all eyes 6/60 in three (10 %) eyes ,6/36 to 6/24 in one ( 3.3% ) eyes 6/18 to 6/12 in sixteen (55 %),6/9 to 6/6 in seven eyes (23 % ). Mean intraocular pressure ranged from 8 to 28. Complications included moderate uveitis in seven eye (23% ), two (6.6% ) eyes developed glaucoma, lens tilt occured in three eyes (30% ) due to poor support of posterior capsule, hypotony in two eyes (6.6% ), vitreous hemorrhage in four (13 %) eyes and insufficient capsular opening was noted in 2 eyes (6.6%) eyes. We found no case of recurrent posterior capsular opacification, retinal detachment and endopthalmitis. No eye developed recurrent posterior capsular thickening.


Anterior vitrectomy with posterior capsulotomy through limbus appears to be a safe and effective procedure to improve visual acuity in patients with thick posterior capsular thickening.

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