A comparative study on intraoperative complication with posterior vitrectorhexis versus forcepsorhexis before implantation of intraocular lens in children.

Objective: To compare intraoperative complications in manual posterior capsulorhexis (forcepsorhexis) and posterior vitrectorhexis, before implantation of the IOL in patients of paediatric cataract surgery. Study Design: Observational study. Setting: Department of Ophthalmology, Shaheed Mohtarma Banazir Bhutto Medical University Larkana. Period: July 2021 to June 2022. Methods: Our study included patients within the age range of 1-12 years who were diagnosed with congenital cataract and did not exhibit any other abnormalities in the anterior or posterior segments. A comprehensive ophthalmic and systemic examination was conducted, and the patients were categorized into two groups: Group A for Forceps Capsulorhexis and Group B for Posterior Vitrectorhexis. Results: There were a total of 154 cases of paediatric cataracts that underwent surgical procedures known as Posterior capsulorhexis (forcepsorhexis) and posterior vitrectorhexis. Both groups had participants with ages ranging from 1 year to 12 years, with a minimum age of 1 year. The mean age for the Forceps Capsulorhexis group was 6.1+1.8 years, while the mean age for the Posterior Vitrectorhexis group was 6.9+1.3 years. The outcomes during surgery showed that in the Forceps Capsulorhexis group, 60 patients (77.92%) had organization of the capsular bag, while in the Posterior Vitrectorhexis group, 49 patients (63.63%) had organization of the capsular bag. Additionally, 55 patients (71.42%) in the Forceps Capsulorhexis group experienced vitreous thrust into the anterior chamber, compared to 66 patients (85.71%) in the Posterior Vitrectorhexis group. Conclusion: The safety and effectiveness of Forceps capsulorhexis as a treatment for paediatric cataract surpasses that of the posterior vitrectorhexis procedure, as concluded by our study.