A pars plana approach for cataract surgery in posterior lenticonus.

Abstract

To report the management and outcome of cataract surgery and intraocular lens placement in a child with unilateral posterior lenticonus. Case report. A 7-year-old boy with a best-corrected visual acuity of RE, 20/200, posterior lenticonus, and cataract underwent a pars plana lensectomy, vitrectomy, posterior chamber intraocular lens insertion into the ciliary sulcus, and central anterior capsulotomy. At 2 years of follow-up, best-corrected visual acuity was RE, 20/40. This technique allowed complete removal of the opaque posterior lenticonus plaque while preserving the peripheral anterior capsule for sulcus fixation of the posterior chamber intraocular lens.