Sutureless 23G Vitreorrhexis in Pediatric Cataract SurgeryAyman Lotfy* and Ayman Abdelrahman
Department of Ophthalmology, Zagazig University Hospital, Zagazig, Sharkia, Egypt
- *Corresponding Author:
- Ayman Lotfy
Department of Ophthalmology, Zagazig University Hospital
3 Ahmed Orabi st., Zagazig, Sharkia, Egypt
E-mail: [email protected]
Received date: July 05, 2016; Accepted date: December 06, 2016; Published date: December 12, 2016
Citation: Lotfy A, Abdelrahman A (2017) Sutureless 23G Vitreorrhexis in Pediatric Cataract Surgery. J Clin Exp Ophthalmol 7: 616. doi: 10.4172/2155-9570.1000616
Copyright: © 2016 Lotfy A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Sutureless 23G vitreorrhexis could be used as a surgical tool for anterior capsulorrhexis (ACCC), irrigation, aspiration and posterior capsulorrhexis (PCCC) in pediatric cataract.
Patients and methods: A prospective consecutive randomized clinical trial of 48 patients less than two years old underwent bilateral pediatric cataract surgeries. These patients were divided into two equal groups. Group A underwent manual ACCC and PCCC. Group B underwent sutureless 23 G vitreorrhexis. For every patient, one eye was randomly distributed for one group and the other for other group.
Results: Extension of the PCCC in (8.33%) in Group A and in (10.4%) in Group B (p=0.5). Surgical time in the manual capsulorrhexis group averaged about 26.5 ± 3.2 min, while that of the vitreorrhexis group was 17.2 ± 2.3 min (p=0.003).
Conclusion: Sutureless 23G Pediatric cataract extraction, ACCC, PCCC and anterior vitrectomy by 23G vitrectomy probe is an easy to learn alternative to manual ACCC and PCCC in pediatric cataract surgery.