A PARS-PLANA APPROACH FOR CATARACT-SURGERY IN POSTERIOR LENTICONUS

PURPOSE: To report the management and outcome of cataract surgery and intraocular lens placement in a child with unilateral posterior lentic onus. METHODS: Case report. A 7-year-old boy with a best-corrected vis ual acuity of RE, 20/200, posterior lenticonus, and cataract underwent a pars plana lensectomy, vitrectomy, posterior chamber intraocular le ns insertion into the ciliary sulcus, and central anterior capsulotomy . RESULT: At 2 years of follow-up, best-corrected visual acuity was RE , 20/40. CONCLUSION: This technique allowed complete removal of the op aque posterior lenticonus plaque while preserving the peripheral anter ior capsule for sulcus fixation of the posterior chamber intraocular l ens.