OUTCOME OF CATARACT SURGERY IN CHILDREN
DOI:
https://doi.org/10.52206/jsmc.2012.2.1.100-104Abstract
Objectives: To evaluate the management and visual outcome of cataract surgery in children.
Study design: Descriptive.
Material and Methods: This study included one hundred pediatric patients having cataracts over a period
of two year, from Is' January 2005 to 31 st December 2006, at the Department of Ophthalmology, Saidu
Teaching Hospital, Saidu Sharif, Swat.
Results: Age range was fourteen years and below. Sixty five (65%) patients were males and thirty five (35%) females. Sixty three (63%) patients had congenital or developmental cataracts and thirty seven (37%) had traumatic cataracts. Extracapsular cataract extraction (aspiration) was performed on 150 eyes. Post
operative visual acuity was recordable in 112 eyes. Acorrected visual acuity of 6/18 or better was obtained in
50 (44.64%) eyes. Forty one (36.6%) eyes obtained visual acuity of 6/24 to 6/60, while in 21 (18.75%) eyes
the visual acuity remained below 6/60. The most common postoperative complication was development of
thick posterior capsule, which occurred in 51 (34%) eyes and vitreous loss in 10 (6.6%) eyes. Pupil block
glaucoma developed in 4 (2.66%) eyes. No case developed endophthalmitis. Posterior chamber IOL was
implanted in 9 (6%) eyes.
Conclusions: Management of cataracts in children is still a problem and delayed presentation leads to poor
visual outcome. The public should be educated to seek early treatment for childhood cataracts. Paramedics
and doctors should be made aware of the problem and its management. Management of unilateral cataracts
is still a difficult problem. Therefore search should continue for better surgical approach and better methods
of correction of aphakia so as to achieve better visual outcome.
Key words: Childhood Cataracts, Congenital Cataracts and Traumatic Cataracts.
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