Congenital Cataract: Morphology And Management
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Purpose: To evaluate the morphology of congenital cataracts presenting to us and their subsequent surgical management and visual rehabilitation. Material and Methods: A total of 92 eyes of 46 patients in the age range from 3 months to 25 years with unilateral or bilateral congenital cataract (diagnosed at any age), with no other associated ocular pathology of the anterior or posterior segment, no history or features of trauma, and without systemic or syndromic associations, presenting to the Department of Ophthalmology, M.L.B. Medical college, Jhansi UttarPradesh between 1st February, 2017 to 31January, 2018 were included in this prospective, interventional study. Results:The most common morphological type of isolated congenital cataract found in our study was lamellar cataract in 26 eyes (28.3%), and total white cataract in 22 eyes (23.9%), followed by isolated blue dot cataract in 7 eyes (7.6%). Mixed morphologies were found in 25 (27.2%) eyes. Pre-operative visual acuity was better than 6/18 in 22 (23.9%) eyes, less than 6/18 in 36 (39.2%) eyes, and unrecordable in 34 (36.9%) eyes. Best corrected visual outcome was significantly improved, with a visual acuity achieved better than 6/18 in 60 (65.2%) eyes, less than 6/18 in 10 (10.9%) eyes and unrecordable in 22 (23.9%) eyes. (p= 0.000) The minimum follow up was 3 months and maximum follow up was 15 months.Conclusions: Isolated lamellar and total white cataracts are the common morphologies of congenital cataract found in our study. Good visual outcome can be achieved with early surgical intervention and appropriate visual rehabilitation.
Authors and Affiliations
Dr. Jitendra Kumar, Dr. Kanhaiya Prasad, Dr. Arti Kushwaha, Dr. Jyoti Sharma
Keywords
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- EP ID EP369229
- DOI 10.9790/0853-1703061217.
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