Sutureless 23G Vitreorrhexis in Pediatric Cataract Surgery

Sutureless 23G vitreorrhexis could be used as a surgical tool for anterior capsulorrhexis (ACCC), irrigation, aspiration and posterior capsulorrhexis (PCCC) in pediatric cataract. Patients and methods: A prospective consecutive randomized clinical trial of 48 patients less than two years old underwent bilateral pediatric cataract surgeries. These patients were divided into two equal groups. Group A underwent manual ACCC and PCCC. Group B underwent sutureless 23 G vitreorrhexis. For every patient, one eye was randomly distributed for one group and the other for other group. Results: Extension of the PCCC in (8.33%) in Group A and in (10.4%) in Group B (p=0.5). Surgical time in the manual capsulorrhexis group averaged about 26.5 ± 3.2 min, while that of the vitreorrhexis group was 17.2 ± 2.3 min (p=0.003). Conclusion: Sutureless 23G Pediatric cataract extraction, ACCC, PCCC and anterior vitrectomy by 23G vitrectomy probe is an easy to learn alternative to manual ACCC and PCCC in pediatric cataract surgery.