ANALYSIS OF VISUAL OUTCOME AFTER SURGICAL MANAGEMENT OF CONGENITAL CATARACT WITH OR WITHOUT IOL IMPLANTATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 4
Abstract
BACKGROUND Early intervention of congenital cataract is posing lots of challenges to the practicing paediatric ophthalmologists, in the form of difficulties in preoperative evaluation and intraoperative techniques. The objective of our study is to analyse the visual outcome in cases of congenital cataract of different morphology and different age group after precise preoperative evaluation and performing cataract extraction with or without IOL implantation with appropriate techniques. MATERIALS AND METHODS This is a retrospective analysis of 50 children less than 15 years of age of both sexes undergoing cataract surgery for congenital cataract. Only children with congenital cataract were included in the study. Children less than 15 years of age undergoing cataract surgery due to traumatic cataract and steroid induced cataracts or any other form of cataract were excluded. All types of congenital cataracts with different morphology were included in the study. Some children underwent cataract surgery for unilateral congenital cataract whereas others were operated for bilateral congenital cataract. Eyes with corneal diameter of 10 mm and above were selected for IOL implantation. Others who had microphthalmos, corneal opacity, coloboma iris had lens aspiration alone. All the cases underwent single piece hydrophobic spherical design AcrySof IOL in the bag. RESULTS Analysis of visual outcome after surgical management of congenital cataract with or without IOL implantation showed good visual outcome when children underwent early surgical intervention. Among the different types, the commonest encountered was lamellar cataract, which is a bilateral cataract, reported in 26 children. Good visual acuity outcome was noted when children with zonular or lamellar cataract underwent surgery. Children with total cataract, membranous cataract, nuclear cataract had poor visual outcome and suffered from deep amblyopia. CONCLUSION Early screening, early diagnosis, early surgical intervention with IOL implantation plays a major role in successful visual outcome in children with congenital cataract.
Authors and Affiliations
Kalai Mohan, Ramesh Rajasekaran, Ashok Balagopal, Prasanna Venkatesh Ramesh, Meena Kumari R
Keywords
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- EP ID EP554704
- DOI 10.14260/jemds/2019/59
- Views 92
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