Objective: To explore the feasibility of anterior and posterior capsulorhexis combined with anterior vitrectomy and intraocular lens implantation in infants with cataract under 2 years old.
Methods: Anterior and posterior capsulorhexis combined with anterior vitrectomy and intraocular lens implantation was performed in 22 cases (27 eyes) of infants with cataract under 2 years old. The results during and after the operation were observed. The mean follow-up time was 12 months.
Results: All surgeries were performed smoothly. The visual axis remained clear in 26 eyes (96%) after operation, there was white fibrosis and opacification posterior to the intraocular lens in 1 eye and needed re-operation, up drawn pupil in 3 eyes (11%), pupillary capture in 2 eyes (7%) and posterior synechia of the iris in 4 eyes (15%).
Conclusions: Anterior and posterior capsulorhexis combined with anterior vitrectomy and intraocular lens implantation in infants with cataract under 2 years old can keep visual axis clear and restore the normal anatomy of anterior segment of the eye, the complications are reduced greatly. However, the ultimate visual acuity needs further observation.