Title: Paediatric Cataract Observation & Results in my Study
Authors: Dr N. Suhasini M.S.FIGS, Dr V. Suryanarayana M.S., D.O.
DOI: https://dx.doi.org/10.18535/jmscr/v8i11.71
Abstract
Aim: To describe & analyze the current techniques utilized in the management of paediatric cataracts, their visual outcome &complications of cataract surgery.
Materials & Methods: A retrospective study of 68 subjects who underwent cataract surgery during 2007-08 in Govt. REH. PMMA intra ocular Lens (12mm) was implanted in the bag for children more than 2 years. Intraocular lenses were not implanted for children aged less than 2 years. Optical correction was given.
Results & Discussion: For aphakic patients, contact lenses along with spectacles are prescribed for near & to correct aniseikonia (or) only aphakic spectacles are prescribed. For pseudophakic patients, reading spectacles are prescribed.
Conclusion
- Cataract is more common in male children (87%) compared to females.
- Cataract is more common in lower socioeconomic status in the age group of 6-9 Yrs. (43.75%)
- Bilateral congenital and developmental cataracts of Zonular type is found to be more common in our study.
- Unilateral cataracts, Bilateral cataracts where the management has been delayed or associated nystagmus and strabismus has set in, have a poor visual outcome.
- Primary posterior chamber Intraocular lenses are recommended for children 2 Yrs. of age and older.
- Most common complication is posterior capsular opacification, managed with YAG laser capsulotomy in most of the cases.
- Early surgery combined with appropriate refractive correction and aggressive amblyopia therapy provides good visual outcome.
Keywords: PMMA-Poly Methyl Methacrylate; REH:Regional Eye Hospital.
