Authors :
Dr. Mohan Morkhade; Dr. Kashinath Choudhary; Dr. Archana Vare
Volume/Issue :
Volume 9 - 2024, Issue 4 - April
Google Scholar :
https://tinyurl.com/2vmww93c
Scribd :
https://tinyurl.com/3wfusn3m
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24APR2554
Abstract :
Purpose:
This study aimed to assess the visual outcomes of
unilateral congenital cataract surgery in children.
Methods:
A total of 204 eyes from 204 children, aged 2 to 12
months, undergoing unilateral congenital cataract
surgery between December 2022 and March 2024, were
included. The study analyzed data from a three-year
follow-up and used chi-square tests to assess the
relationship between visual outcomes and the age at
surgery, considering P < 0.05 as statistically significant.
Results:
Of 204 eyes, 64 (31.4%) underwent surgery at 2-3
months and 140 (68.6%) at 3-12 months. Visual acuity
was measured postoperatively, revealing significantly
poorer outcomes in children aged 3 months or older (P
< 0.001) compared to those aged 2-3 months.
Conclusions:
It is essential to detect and treat congenital
cataracts early, followed by long-term postoperative
rehabilitation, to improve visual outcomes in affected
children, particularly in cases of unilateral cataract,
which are more prone to developing amblyopia.
Keywords :
Congenital, Cataract, Visual Outcome
References :
- Louison S, Blanc J, Pallot C, Alassane S, Praudel A, Bron AM, et al. Visual outcomes and complications of congenital cataract surgery. Journal Français d’Ophtalmologie. 2019 Apr;42(4):368–74.
- Singh R, Barker L, Chen SI, Shah A, Long V, Dahlmann-Noor A. Surgical interventions for bilateral congenital cataract in children aged two years and under. Cochrane Eyes and Vision Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2022 Sep 15 [cited 2024 Apr 22];2022(9). Available from: http://doi.wiley.com/10.1002/14651858.CD003171.pub3
- Vera L, Lambert N, Sommet J, Boulkedid R, Alberti C, Bui Quoc E. Visual outcomes and complications of cataract surgery with primary implantation in infants. Journal Français d’Ophtalmologie. 2017 May;40(5):386–93.
- Bothun ED, Wilson ME, Vanderveen DK, Plager DA, Freedman SF, Trivedi RH, et al. Outcomes of Bilateral Cataracts Removed in Infants 1 to 7 Months of Age Using the Toddler Aphakia and Pseudophakia Treatment Study Registry. Ophthalmology. 2020 Apr;127(4):501–10.
- Gregori NZ, Rodriguez M, Staropoli PC, Karli SZ, Galor A, Wellik SR, et al. Visual and anatomic outcomes of cataract surgery with intraoperative or postoperative complications in a teaching institution. Canadian Journal of Ophthalmology. 2019 Jun;54(3):382–7.
- Nyström A, Almarzouki N, Magnusson G, Zetterberg M. Phacoemulsification and primary implantation with bag‐in‐the‐lens intraocular lens in children with unilateral and bilateral cataract. Acta Ophthalmologica. 2018 Jun;96(4):364–70.
- Hussain AHME, Hossain A, Ferdausi N, Islam MZ, Sen U. Visual Outcomes of Congenital Cataract Surgery in a Tertiary Public Hospital in Bangladesh: Asia-Pacific Journal of Ophthalmology. 2015;4(5):263–6.
- Chak M, Wade A, Rahi JS. Long-Term Visual Acuity and Its Predictors after Surgery for Congenital Cataract: Findings of the British Congenital Cataract Study. Invest Ophthalmol Vis Sci. 2006 Oct 1;47(10):4262.
- Birch EE, Cheng C, Stager DR, Weakley DR, Stager DR. The critical period for surgical treatment of dense congenital bilateral cataracts. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2009 Feb;13(1):67–71.
- Ye H hua, Deng D ming, Qian Y yong, Lin Z, Chen W rong. Long-term visual outcome of dense bilateral congenital cataract. Chin Med J (Engl). 2007 Sep 5;120(17):1494–7.
- Rogers GL, Tishler CL, Tsou BH, Hertle RW, Fellows RR. Visual Acuities in Infants with Congenital Cataracts Operated on Prior to 6 Months of Age. Archives of Ophthalmology. 1981 Jun 1;99(6):999–1003.
- Jain S, Ashworth J, Biswas S, Lloyd IC. Duration of form deprivation and visual outcome in infants with bilateral congenital cataracts. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2010 Feb;14(1):31–4.
- Khanna R, Foster A, Krishnaiah S, Mehta M, Gogate P. Visual outcomes of bilateral congenital and developmental cataracts in young children in south India and causes of poor outcome. Indian J Ophthalmol. 2013;61(2):65.
- Gessner B, Wiese S, Lagre'ze WA. Ergebnisse der Pars-plana-Lentektomie bei kindlicher Katarakt. Ophthalmologe [Internet]. 2004 Sep [cited 2024 Apr 9];101(9). Available from: http://link.springer.com/10.1007/s00347-004-0997-1
Purpose:
This study aimed to assess the visual outcomes of
unilateral congenital cataract surgery in children.
Methods:
A total of 204 eyes from 204 children, aged 2 to 12
months, undergoing unilateral congenital cataract
surgery between December 2022 and March 2024, were
included. The study analyzed data from a three-year
follow-up and used chi-square tests to assess the
relationship between visual outcomes and the age at
surgery, considering P < 0.05 as statistically significant.
Results:
Of 204 eyes, 64 (31.4%) underwent surgery at 2-3
months and 140 (68.6%) at 3-12 months. Visual acuity
was measured postoperatively, revealing significantly
poorer outcomes in children aged 3 months or older (P
< 0.001) compared to those aged 2-3 months.
Conclusions:
It is essential to detect and treat congenital
cataracts early, followed by long-term postoperative
rehabilitation, to improve visual outcomes in affected
children, particularly in cases of unilateral cataract,
which are more prone to developing amblyopia.
Keywords :
Congenital, Cataract, Visual Outcome