An alternative technique to manage pediatric cataracts comprises a pars plana lensectomy and anterior vitrectomy with anterior and posterior capsulotomies and posterior chamber heparin-surface-modified intraocular lens (IOL) implantation in the ciliary sulcus through a scleral tunnel. The surgical results in 7 eyes of 6 consecutive patients between 3.5 and 12.0 years aid with developmental or traumatic cataract who had surgery using this technique were evaluated prospectively. follow-up ranged from 12 to 19 months. All 7 eyes maintained a clear pupillary axis and a well-centered IOL from immediately after surgery to the last Follow-up. Final best corrected visual aculty was 20/40 or better in 71%, of cases. J Cataract Refract Surg 2000; 26;486-490 (C) 2000 ASCRS and ESCRS.