Delhi Journal of Ophthalmology

Visual Outcome After Pediatric Cataract Surgery In A Tertiary Eye Care Hospital

Sathish Kumar Chidire, Sairani karanam, Anees Fatima
Department of Ophthalmology, Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Sathish Kumar Chidire
M.B.B.S, DO DNB
Department of Ophthalmology
Sankara Eye Hospital, Guntur
Andhra Pradesh, India.
E-mail: satish.chidire@gmail.com 


Received: 04-JUL-2020 Accepted: 05-AUG-2020 Published Online: 09-JUL-2021
DOI: https://dx.doi.org/10.7869/djo.657

Abstract
Background: Paediatric cataract though being an avoidable cause of blindness, if not intervened timely, presents an enormous problem in terms of human morbidity, economic loss and social burden. 

Aims and objective: The objective of this study was to observe the visual outcome after developmental cataract surgery. 

Materials and Methods: A prospective study was conducted in department of pediatric ophthalmology at sankara eye care hospital. The study was conducted for nine months period from february 2019 to september 2019. All the patients of developmental cataract up to age of 15 years were included in the study. The patients underwent either a) lens aspiration + PCIOL implantation b) lens aspiration + PPC+Anterior Vitrectomy+PCIOL implantation depending upon age of patient. Post surgery patients were examined on day 1, 1 week and 1 month period. Glass prescription was done at the end of 1 month post operative period.

Results: A total of 50 eyes of 31 children were included in the study. The mean age was 7.83 ± 4.07 years. Male participants were 24 (77% ) and 7 ( 23%) were female participants. post-operative BCVA of 6/6 - 6/18 was seen in 27 (54%) eyes, 6/60 < 6/18 was seen in 9 (18%) of eyes and < 6/60 in 1(2%) eye. In 13 (26%) of eyes, fixation and follow up of light was seen. There was a statistically significant improvement in post surgical BCVA (p value<0.001).

Conclusion: Our study demonstrates that good visual outcome following pediatric cataract surgery can be achieved by early diagnosis, timely intervention, skill of the surgeon and regular followup in the post-operative period. The tendency to develop posterior capsular opacification in the post-operative period is less likely to occur with lens aspiration +PPC+ Anterior Vitrectomy+PCIOL implantation when compared to lens aspiration+ PCIOL implantation. 

Keywords :Developmental Cataract, Primary Posterior Capsulorrhexis, Posteror Chamber Intraocular Lens