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
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