Congenital Cataract Surgery with Posterior Optic Capture of IOL

Posterior capsule opacification (PCO) is the most common complication of pediatric cataract surgery, and it seriously threatens the recovery of visual function after surgery, especially in children who are unable to sit for YAG laser capsulotomy. Current efforts to prevent PCO include primary posterior capsulotomy (PPC) with or without anterior vitrectomy. In this video, Dr. Hassan Khaled discusses how capturing the IOL optic through the posterior capsulotomy can prevent the incidence of PCO by preventing the migration of the lens epithelial cells through the anterior hyaloid face, with the optic acting as a barrier between the capsule and anterior hyaloid face. In this technique, a 3-piece IOL is preferred, with a slight adjustment in the lens power when it is captured posteriorly and no need for anterior vitrectomy.

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