I would recommend upto 8 years.Beyond that, the equatorial profileration of wiedl cells decrease.

But we do need more robust trials to check if polishing and square edges help aswell. Also I have noted, unilateral cataracts having less problems than bilateral but till day it is just my observation.

Most of the knowledge which our practice is dependant needs an update. For eg. Most pediatric cataracts - mostly bilateral- are related to childhood metabolic disorders or even some inflammatory diseases like jra, or etc. Even in adults, I think the pco rates are comparable if such etiology for catarctogenesis are considered.

Pas d'expérience

My practice is till 5 years of age, all the cases undergo primary posterior capsulotomy with anterior vitrectomy. After 5 years of age, for co-operative child, I do YAG capsulotomy at 6 weeks post op.

But when the follow-up is an issue, we should perform PPC with AV at the primary surgery itself in children.

In my practice PPC is done till 4-5 years of age. Afterwards in co-operative children, assessed preoperatively at Slit lamp examination, I prefer Yag Cap.

Children with Nystagmus, development delay etc are mostly with PPC at any age.

Pas d'expérience dans cette pathologie

I tend to do a primary posterior capsulotomy in all children below the age of 10 years because these children tend to be uncooperative for an ND Yag laser capsulotomy for a secondary capsular opacification which they will all develop if the capsule is left intact. Older children with delayed developmental milestones also fall into this category of patients to have a primary posterior capsulorrhexis for obvious reasons. However those practices in remote that do not have access to an NDYag laser are justified to do a capsulotomy primarily during the lensectomy. The posterior capsule almost always opacifies in the young .