PCO and the pediatric eye

Abstract

Posterior capsule opacification (PCO) still remains one of the biggest deterrents to visual rehabilitation in pediatric eyes, particularly in infants and young children. Different patient-related factors, ocular and systemic conditions, and surgical techniques influence the development of PCO. In children, the management of the posterior capsule and anterior vitreous during cataract surgery plays a vital role in ensuring a clear visual axis and thereby successful technical and functional outcomes. Meticulous use of surgical techniques and appropriate IOLs remains the mainstay for retarding the development of PCO in children. Alternative approaches to retard or delay PCO include bag-in-the-lens implantation, optic capture of IOL without anterior vitrectomy, and devices like sealed capsule irrigation. Further, timely and age-appropriate management of this visual axis opacification is essential to reduce amblyopia and allow good visual development.