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Commentary: Comparison of posterior optic capture of intraocular lens without vitrectomy versus endocapsular implantation with anterior vitrectomy in congenital cataract surgery – A randomized prospective study

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The major advantages of optic capture of IOL in pediatric cataract surgery are centration, prevention of herniation of vitreous anteriorly, and prevention of migration of Elschnig pearls on the vitreous… Click to show full abstract

The major advantages of optic capture of IOL in pediatric cataract surgery are centration, prevention of herniation of vitreous anteriorly, and prevention of migration of Elschnig pearls on the vitreous face. So vitrectomy can be avoided. This reduces the incidences of VAO and postoperative inflammation. But it requires expertise and so a long learning curve. The results may be comparable, but success of a technique depends on how easily it can be replicated by other surgeons. On that front, probably this technique is at a disadvantage.

Keywords: vitrectomy; cataract surgery; optic capture

Journal Title: Indian Journal of Ophthalmology
Year Published: 2020

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