Review of Surgical Outcomes in Pediatric Cataract
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Pediatric cataracts causing visual impairment are responsible for 10-30% of childhood blindness. Successful cataract surgery in this age group requires, early diagnosis, Management of post operative complications with visual rehabilitation for desired outcomes. Material and Methods: Prospective study was done in 47 eyes of congenital and developmental cataract at tertiary care hospital. 31 children underwent cataract surgery with post operative follow up of 6 months analysing complications and surgical outcomes. Results: Out of 31 patients 16 patients underwent surgery for bilateral while 15 patients for unilateral cataracts. The lamellar cataract was the commonest type followed by nuclear cataract. In the present study, 2 eyes (100%), developed secondary glaucoma, 4 eyes (8.5%) that developed mild uveal inflammation which resolved rapidly and with topical steroids. Total 16 out of 36 patients (44.4%) who underwent AcrySof IOL implantation developed visual axis opacification. On assessment of visual acuity with Snellen’s chart, 17 eyes (36.2%) had best corrected visual acuity better than 6/18 after cataract extraction at last visit i.e. at 6 months. 66.7% of patients undergoing surgery for bilateral cataract achieved a best corrected visual acuity between 6/6 and 6/12 as compared to 38.5% in unilateral cases. Conclusion: This study highlights the importance of early detection, meticulous surgical technique and Optical rehabilitation in children with congenital cataract. Changes in refraction and post-operative complications like PCO make functional outcome unpredictable despite satisfactory technical outcomes
Authors and Affiliations
Aditi Ghodke, Avinash Ingole, Swapnil Rathod, Amruta D. Kumbhar
Keywords
Related Articles
- EP ID EP427081
- DOI -
- Views 114
- Downloads 0
Correlation of Serum Pseudocholinesterase Level and Peradeniya Organophosphorus Poisoning Scale with the Severity and Inhospital Outcome of Acute Organophosphorus Poisoning
Introduction: Organophosphorus (OP) compounds are commonly used for suicide in rural India. The rate of OP poisoning as a suicidal agents ranges from 10.3% to 43.8% in various studies in India. So present study was done...
Study of Thyroid Profile in Advancing Age
Introduction: Thyroid hormone production, metabolism and action change with age. The incidence of thyroid dysfunction is increased greatly with age. It is not well documented whether mild thyroid dysfunction in the elder...
Ultasonography and CT Evaluation of Neck Masses
Introduction: A neck mass in an adult patient is a frequently encountered entity in clinical practice. Imaging studies form an integral part of the diagnostic workup of neck masses. The present study was undertaken to ev...
A Study of Pediatric Long Bone Fracture Treatment using Elastic Titanium Nails
Introduction: various treatment methods are available to treat long bone fractures in children. Method of open reduction involves using intramedullary devices, plates, screws and external fixators. The aim of the present...
Incidence and Risk Factors for Developing Diabetic Retinopathy in Type 1 and Type 2 Diabetes
Introduction: Diabetes Mellitus (DM) is a complex metabolic disorder in which a relative or supreme insulin insufficiency influences the digestion of lipids, starches and proteins One of the most important microvascular...