RT Journal Article
SR Electronic
T1 Outcome of cataract surgery with primary intraocular lens implantation in children
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP bjo.2010.186072
DO 10.1136/bjo.2010.186072
A1 Jagat Ram
A1 Nishant Gupta
A1 Jaspreet Singh Sukhija
A1 Manish Chaudhary
A1 Neelam Verma
A1 Sunil Kumar
A1 Saurabh Severia
YR 2010
UL http://bjo.bmj.com/content/early/2010/10/08/bjo.2010.186072.abstract
AB Aim To report the results of paediatric cataract surgery with primary intraocular lens (IOL) implantation.Methods Children with congenital or developmental cataract who underwent phacoaspiration with posterior chamber (PC) IOL implantation were retrospectively studied. Group A included children with polymethyl methacrylate, group B hydrophobic acrylic and group C silicone IOLs. Outcome measures were visual axis clarity, visual outcome and refractive changes.Results There were 230 children (381 eyes) with the age ranging from 1 months to 15 years. Group A comprised 208, group B 144 and group C 29 eyes. Posterior capsule opacification was seen in 38/208 in group A and 21/144 in group B and 4/29 eyes in group C. The mean refractive error at 2 weeks, 1 year and 3 years after cataract surgery in the age group ≤2 years was +3.38±3.07 D (median +3.75 D), +1.72 D±3.19 (median +1 D) and −0.51 D±3.59 (median −0.5 D); in the age group >2–8 years +0.84±3.18 D (median+1.5 D), +0.27 D±3.14 (median +0.5 D) and −0.62 D±2.81(median −0.75D); and in the age group >8 years −0.44±1.73 D (median –0.5 D), −0.70±1.77 D (median −0.75 D) and −0.89 D±1.60 (median –0.75D) respectively. Children ≤2 years had a significant myopic shift (p<0.001). LogMAR visual acuity was ≥0.3 in 62.2% of eyes in bilateral and 30.90% in the unilateral group.Conclusions Paediatric cataract surgery with primary PCIOL implantation is safe. Refractive changes and PCO are the main hurdles for achieving optimal visual outcome.