Pediatric anterior capsulotomy preferences of cataract surgeons worldwide

We compared the pediatric anterior capsulotomy preferences of members of the American Society of Cataract and Refractive Surgery (ASCRS) and the American Association of Pediatric Ophthalmology and Strabismus (AAPOS) reported in 3 surveys (1993, 2001, and 2003). In 1993 and 2001, more than 50% of ASCRS respondents preferred manual anterior capsulotomy techniques; in 2001 and 2003, AAPOS respondents preferred manual and vitrector techniques. The ASCRS preferences remained unchanged when subdivided into domestic and international, as did AAPOS domestic preferences; however, more than 50% of AAPOS international preferences changed from manual alone in 2001 to a manual-vitrector combination in 2003. In 2003, more than 50% of AAPOS respondents worldwide preferred this combination: the vitrector for the very young patient and the manual anterior capsulotomy for the older child.