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Indian Journal of Clinical and Experimental Ophthalmology


Pediatric cataract blindness management and outcomes in North East India – hospital based study


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Author Details : Damaris Magdalene, Dhaval Patel, Akanksha Koul, Diva Kant Mishra, Kalyan Das, Prabhjot Kaur

Volume : 3, Issue : 1, Year : 2017

Article Page : 112-114


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Abstract

Purpose: To study the visual outcomes and cause of poor visual prognosis in pediatric cataract patients in North East India.
Methods: Retrospective analyses of 283 eyes of patients with cataract below age of 18 years with minimum follow up of 6 months were included. Pre-operative and post-operative visual outcomes of patients undergoing cataract surgery at tertiary eye care hospital were analyzed. Statistical analysis was done using Chi Square test.
Results: There was a male preponderance with 194 males (68.5%) and 89 females (31.4%). The most common type of cataract encountered was developmental (28.9%). According to morphology, 48.08% eyes had lamellar/zonular cataract. Vision following surgery was greater than 6/60 in 144 eyes (50.8%). Vision could not be assessed in 15% cases pre-operatively compared to 7.7% post-operatively. IOL was implanted in 77.3% cases. The most common associated ocular condition was nystagmus in 57 cases (20.1%). The most important factor associated with poor visual outcome was amblyopia (38.2%).
Conclusion: Pediatric cataract continues to be a challenge and a major cause of reduced vision in developing countries. Awareness, early intervention go a long way in preventing the development of amblyopia and improving the morbidity of children with cataract.

Keywords:
Amblyopia, Childhood blindness, Pediatric Cataract

How to cite : Magdalene D, Patel D, Koul A, Mishra D K, Das K, Kaur P, Pediatric cataract blindness management and outcomes in North East India – hospital based study. Indian J Clin Exp Ophthalmol 2017;3(1):112-114

Copyright © 2017 by author(s) and Indian J Clin Exp Ophthalmol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)