VISUAL OUTCOME AND CHANGE IN REFRACTION AFTER PAEDIATRIC CATARACT SURGERY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 2
Abstract
INTRODUCTION: Cataract remains one of the most important avoidable causes of blindness in children. IOL implantation has the advantage of immediate visual rehabilitation, less hospital visits and less vigorous supervision by the ophthalmologists. We assessed the effects of intra ocular lens implantation on post-operative complications, method of optical correction, and presence of amblyopia as immediate visual outcomes. Additionally, changes in refraction in one year follow up period. METHODS: We studied congenital and developmental cataract who underwent extra capsular cataract extraction (ECCE) with posterior capsulotomy and anterior vitrectomy between 2007 and 2010. Patient demographics, cataract type, presenting symptom, complications of surgery, post-operative visual acuity and refractive changes were recorded. RESULTS: 34 children were included and a total 50 eyes of were evaluated. Unilateral cataracts were present in 18(51.43%) patients, and are predominantly in age group of 9-14 years. Post operatively 13 patients had visual acuiy<6/60, compared to 47 patients at admission. The most common early post-operative complication observed was fibrinous uveitis which occurred in 6 patients. At the end of 1 year follow up 28 eyes showed increase in axial length of that 13 patients are in age group of 1-4 years. CONCLUSION: Primary IOL implantation and primary posterior capsulorrhexis with anterior vitrectomy is a safe and effective method for pediatric cataract, We observed less post-operative complications, improved visual acuity, and less refractive changes. Intraocular lens implantation acts as an aid for early visual rehabilitation for pediatric cataracts if the children undergo surgery before abnormal foveolar function develops.
Authors and Affiliations
Swapna Kaipu, Kiran Kumar Gudala, Chandrasekhar G, Rama Mohan Pathapati, Madhavulu Buchineni, Sailaja Manikala
Keywords
Related Articles
- EP ID EP222181
- DOI 10.18410/jebmh/2015/13
- Views 75
- Downloads 0
A COMPARATIVE STUDY BETWEEN HARRINGTON INSTRUMENTATION AND PEDICLE SCREW ROD INSTRUMENTATION IN THORACOLUMBAR INJURIES WITH NEUROLOGICAL INVOLVEMENT
BACKGROUND Spinal cord housed and protected by vertebral column, hence injury to vertebral column endanger the function of spinal cord and half of the spinal column injury associated with spinal cord injury. In our study...
GESTATIONAL DIABETES MELLITUS- TESTING IN THIRD TRIMESTER- NEW DATA AND FRESH THINKING
BACKGROUND Gestational Diabetes Mellitus (GDM) is a common complication of pregnancy that is associated with adverse pregnancy outcomes. Studies have shown that GDM responds to early and effective intervention, which imp...
AGGRESSION IN INTRACTABLE EPILEPSY
Increased rate of aggression in patients with epilepsy is well known. However this phenomenon is relatively less studied systematically. AIMS: To study the prevalence of aggression in medically intractable complex partia...
MICROBIAL ENDOPTHALMITIS: INCIDENCE SPECTRUM AND ANTIBIOTIC SENSITIVITY PATTERN OF BACTERIAL ISOLATES
Endopthalmitis is a microbial infection of the anterior and posterior segments of the eye following a surgical procedure traumatic penetrating injury or of endogenous origin. The visual prognosis depends widely on the ti...
CAN PRE-OPERATIVE TUMOUR THICKNESS ON CT SCAN PREDICT REGIONAL LYMPH NODE METASTASIS IN GASTRIC ADENOCARCINOMA: A SHORT TERM RETROSPECTIVE STUDY
BACKGROUND Gastric cancers are among the commonest cancers in developing countries including India. Majority of the patients present in late stages of disease with dismal outcomes. METHODS Medical records of patients und...