Abstract

Study Design: Prospective observational
Purpose: We compared visualization of posterior capsule during posterior capsulorrhexis and completeness of anterior vitrectomy using direct microscope illumination and oblique external illumination using endoilluminator.
Methods: 20 children with pediatric cataract underwent cataract surgery by residents using only microscope illumination or microscope and endoilluminator.
Results: Endoilluminator was used in 17 cases (85%). 6 cases required use of endoilluminator to visualize initial nick made in posterior capsule. In 10 cases it was used to complete AV. In 3 cases resident was able to complete the procedure without endoilluminator.
Conclusion: Endoilluminator is a simple tool to aid in visualization of transparent structures like capsule and vitreous which may be difficult for a resident in pediatric ophthalmology. Therefore, for young pediatric ophthalmologists working in small health centres endoilluminator is a boon or a guiding light.