Long term outcomes of bilateral congenital and developmental cataracts operated in Maharashtra, India. Miraj pediatric cataract study III.
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Date
2014-02
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Abstract
Aim: To study long term outcome of bilateral congenital and developmental cataract surgery.
Subjects: 258 pediatric cataract operated eyes of 129 children. Materials and Methods: Children who
underwent pediatric cataract surgery in 2004‑8 were traced and examined prospectively in 2010‑11.
Demographic and clinical factors were noted from retrospective chart readings. All children underwent
visual acuity estimation and comprehensive ocular examination in a standardized manner. L. V. Prasad
Child Vision Function scores (LVP‑CVF) were noted for before and after surgery. Statistics: Statistical
analysis was done with SPSS version 16 including multi‑variate analysis. Results: Children aged
9.1 years (std dev 4.6, range 7 weeks‑15 years) at the time of surgery. 74/129 (57.4%) were boys. The
average duration of follow‑up was 4.4 years (stddev 1.6, range 3‑8 years). 177 (68.6%) eyes had vision <3/60
before surgery, while 109 (42.2%) had best corrected visual acuity (BCVA) >6/18 and 157 (60.9%) had
BCVA >6/60 3‑8 years after surgery. 48 (37.2%) had binocular stereoacuity <480 sec of arc by TNO test. Visual
outcome depended on type of cataract (P = 0.004), type of cataract surgery (P < 0.001), type of intra‑ocular
lens (P = 0.05), age at surgery (P = 0.004), absence of post‑operative uveitis (P = 0.01) and pre‑operative
vision (P < 0.001), but did not depend on delay (0.612) between diagnosis and surgery. There was a
statistically significant improvement for all the 20 questions of the LVP‑CVF scale (P < 0.001). Conclusion:
Pediatric cataract surgery improved the children’s visual acuity, stereo acuity and vision function.
Developmental cataract, use of phacoemulsification, older children and those with better pre‑operative
vision had betterlong‑termoutcomes.
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Keywords
Congenital cataract, developmental cataract, outcome, vision function
Citation
Gogate Parikshit M, Sahasrabudhe Mohini, Shah Mitali, Patil Shailbala,Kulkarni Anil N, Trivedi Rupal, Bhasa Divya,Tamboli Rahin, Mane Rekha. Long term outcomes of bilateral congenital and developmental cataracts operated in Maharashtra, India. Miraj pediatric cataract study III. Indian Journal of Ophthalmology. 2014 Feb ; 62 (2): 186-195.