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document
Primary capsulectomy , anterior vitrectomy , lensectomy , and posterior chamber lens implantation in children : limbal versus pars plana . PURPOSE To compare the results of a limbal versus a pars plana approach for primary posterior capsulectomy and anterior vitrectomy in the management of childhood cataract . SETTING Department of Ophthalmology , Labbafinejad Medical Center , Tehran , Iran . METHODS A randomized , controlled , double-masked clinical trial of 45 eyes was conducted . After being matched , 38 eyes were included in the study and were divided into 2 equal groups for data analysis . All eyes had lensectomy and posterior chamber intraocular lens ( PC IOL ) implantation . Primary posterior capsulectomy and anterior vitrectomy were performed through the limbus in half of the eyes and the pars plana in the other half . Main outcome measures included visual acuity , estimated red reflex , postsurgical inflammatory reaction , corneal clarity , posterior synechias , iris capture , IOL position , capsulectomy size , glaucoma , cystoid macular edema , retinal tear , and postoperative refraction . RESULTS No statistically significant differences were found between the 2 approaches in the outcome measures . CONCLUSION The anatomic and visual results were encouraging when posterior capsulectomy and anterior vitrectomy , using a limbal or pars plana approach , were combined with lensectomy and PC IOL implantation in children . The application of these techniques depends on surgeon experience and skill .
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Intervention_Surgical
Primary capsulectomy , anterior vitrectomy , lensectomy , and posterior chamber lens implantation
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Intervention_Physical
primary posterior capsulectomy
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Intervention_Physical
anterior vitrectomy
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Intervention_Physical
lensectomy
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Intervention_Physical
posterior chamber intraocular lens ( PC IOL ) implantation
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Intervention_Physical
Primary posterior capsulectomy
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Intervention_Physical
anterior vitrectomy
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Intervention_Physical
posterior capsulectomy
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Intervention_Physical
anterior vitrectomy
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Intervention_Surgical
lensectomy and PC IOL implantation
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Outcome_Physical
childhood cataract
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Outcome_Physical
visual acuity , estimated red reflex , postsurgical inflammatory reaction , corneal clarity , posterior synechias , iris capture , IOL position , capsulectomy size , glaucoma , cystoid macular edema , retinal tear , and postoperative refraction
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Participant_Age
children
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Participant_Age
childhood
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Participant_Condition
cataract
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Participant_Age
children