Influence of the vitreolenticular interface in pediatric cataract surgery

Journal of Cataract and Refractive Surgery
Jan Van LooverenMarie-José Tassignon

Abstract

To report the status of Berger space in pediatric cataract cases and the influence of anterior vitreolenticular interface dysgenesis during primary posterior continuous curvilinear capsulorhexis (PCCC). Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium. Prospective case series. The study comprised consecutive pediatric cataract cases planned for bag-in-the-lens intraocular lens (BIL IOL) implantation. A video-based analysis of the surgical interventions included the type of crystalline lens opacification, presence of a posterior capsule plaque (PCP), presence of anterior vitreolenticular interface dysgenesis, complications during primary PCCC, integrity of the anterior hyaloid membrane, need for anterior vitrectomy, and feasibility of BIL IOL implantation. Abnormalities in Berger space were observed in 35 of the 64 pediatric cataract cases. Anterior vitreolenticular interface dysgenesis was most often found in cases with persistent fetal vasculature (PFV) and those with posterior cataract. Anterior vitreolenticular interface dysgenesis was diagnosed significantly more often in eyes with unilateral cataract and those with PCP. In pediatric cataract cases presenting with PCP and anterior vitreolenticular i...Continue Reading

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Citations

Mar 11, 2019·Journal of Cataract and Refractive Surgery·H Burkhard Dick, Tim Schultz
Sep 2, 2021·Journal of Cataract and Refractive Surgery·Hedwig SillenMarie-José Tassignon

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