AIM: To study the effect of modified posterior capsulorhexis with anterior vitrectomy in congenital cataract.

METHODS: Forty cases(48 eyes)underwent modified phacoemulsification, the best-corrected visual acuity and postoperative complications were observed.

RESULTS: Totally 5 eyes occurred posterior capsule opacification(PCO)in 48 eyes after 3 months to 1 year followed-up. The postoperative complications included PCO, corneal edema and uveitis.

CONCLUSION:Posterior capsulorhexis with anterior vitrectomy in congenital cataract seems to be an safe and effective method to decrease the incidence rate of after-cataract.