Results of cataract surgery and plasma ablation posterior capsulotomy in anterior persistent hyperplastic primary vitreous.
PURPOSE
To report the feasibility and outcome of lens aspiration, and Fugo blade-assisted capsulotomy and anterior vitrectomy in eyes with anterior persistent hyperplastic primary vitreous (PHPV).


MATERIALS AND METHODS
In this case series, 10 eyes of 10 patients with anterior PHPV underwent lens aspiration. The vascularized posterior capsule was cut with a Fugo blade (plasma knife) and removed with a vitrector. A foldable posterior chamber intraocular lens (IOL) was implanted in eight eyes and the outcomes were evaluated.


RESULTS
The mean age of patients was 16.8 ± 6.37 months (range: 5 to 28 months). The surgery was completed successfully in all eyes. There were no cases of intraocular hemorrhage intraoperatively. Foldable acrylic IOL was implanted in the bag in 3 eyes and in the sulcus in 5 eyes. Two eyes were microphthalmic and did no undergo IOL implantation (aphakic). None of the eyes had a significant reaction or elevated intraocular pressure postoperatively. The follow-up ranged from 4 to 21 months. All the pseudophakic eyes achieved a best corrected visual acuity of ≥20/200 with 50% (4/8) of these eyes with ≥20/60 vision.


CONCLUSION
Lens aspiration followed by posterior capsulotomy with Fugo blade-assisted plasma ablation is a feasible technique for performing successful lens surgery in cases with florid anterior PHPV.
['Sinha|Rajesh|R|', 'Bali|Shveta Jindal|SJ|', 'Kumar|Chandrashekhar|C|', 'Shekhar|Himanshu|H|', 'Sharma|Namrata|N|', 'Titiyal|Jeewan S|JS|', 'Vajpayee|Rasik B|RB|']
D002387:Cataract Extraction D002675:Child, Preschool D005260:Female D006801:Humans D007223:Infant D007429:Intraocular Pressure D007903:Lens Capsule, Crystalline D019654:Lens Implantation, Intraocular D008297:Male D054514:Persistent Hyperplastic Primary Vitreous D064727:Posterior Capsulotomy D016896:Treatment Outcome D014792:Visual Acuity D014821:Vitrectomy
Persistent Hyperplastic Primary Vitreous Fugo Blade Plasma Knife