Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

Chaudhary, Santosh; Lavaju, Poonam; Shrestha, Bhuwan Govinda; Shah, Sangeeta; Chaudhary, Sanjib Kumar

doi:10.3126/nepjoph.v9i2.19258

Cited by 3 publications

(4 citation statements)

References 14 publications

(24 reference statements)

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“…For PCO advised Nd: yag capsulotomy after 3 months of cataract surgery. (Figure 2) In our study 64% were male and 34% were female which is similar with other study, Chaudhary S et al 2017 9 in which 57% were male and 43% were female. Though all traumatic cataract (12%) were present in the male in our study because their outdoor activity is more than female.…”

Section: Resultssupporting

confidence: 91%

“…12 Visual axis opacification is the most common complication following paediatric cataract surgery. [13][14][15][16][17] In Choudhary S et al 2017 9 it was present in 75% of eyes, which did not undergo PPC, developed PCO while only 11.76%, which underwent PPC, developed PCO. In our study it was seen in 36% of cases which did not undergo PPC develop PCO.…”

Section: Resultsmentioning

confidence: 99%

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Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Rawate,

Hota,

Dulani

2024

IJCEO

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The aim of this study is to evaluate the various factors affecting the visual outcome of paediatric cataract surgery. Paediatric cataract is a huge problem of the world specially for developing and poor countries. Without treatment cataract can damage connection between brain and eye. So importance of early diagnosis and treatment can prevent permanent vision loss in children.Cataract in children can appear in variety of forms, each presenting in differencing in different way depending on the time. Sometime cataract associated with other ocular disease like coloboma, nystagmus, microphthalmos. These conditions are associated with poor prognosis. So proper visual rehabilitation of neuro- ophthalmic axis is crucial for good visual prognosis. All patients from 2 - 14 years of age who underwent cataract surgery in Department of Ophthalmology at BRLSABVMM College Rajnandgaon during 1- year period were included in the study. Detail history of patient, preoperative examination, ocular and systemic co-morbidity, intraoperative complications and post-operative outcome were documented and analysed. 25 patients underwent cataract surgery during this period.16 were male (64%) and 9 females (36%). Most common presenting symptom is diminution of vision in some cases nystagmus and strabismus also present. In some patient there is history of trauma also present. There was significant improvement in best corrected visual acuity following surgery in approx. 70% of patients. Visual axis opacification is most common complication after that fibrin reaction is other complication.: Improvement in vision in post operative paediatric cataract surgery due to early detection by parents and raise awareness by health workers of rural and urban area. Good visual outcome is depended on good infrastructure for operation theatre, advance microscope with instrument, advance cataract surgery with posterior capsulotomy and anterior vitrectomy, post-operative management and visual rehabilitation.

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Section: Resultssupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Rawate,

Hota,

Dulani

2024

IJCEO

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“…. An estimated 19 million children are visually impaired and 1.5 million are living with blindness with 1 million children recorded in Asia and 300,000 in Africa (Chaudhary et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Visual Outcome of Pediatric Traumatic Cataract in Lumbini Eye Institute, Bhairahawa, Nepal

Gurung

Bajracharya

2020

Nep J Oph

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Introduction: There are not many studies of pediatric trauma in Nepal. Therefore, this study was conducted to find out the visual outcome of pediatric traumatic cataract and causes of poor visual acuity. Materials and Methods: In this hospital based prospective study, all children visiting the pediatric department of Lumbini Eye Institute and Research Center with traumatic cataract and visual outcome after surgery from July 2018 to August 2019 were evaluated. A total of 136 children ranging from age (0 months to 15 years) with traumatic cataract were included in the study. Data on age of presentation, sex and diagnosis were collected from clinical charts and analyzed. Results: The study enrolled 136 cases with traumatic cataract. 72.1% male and 27.9% female patients were involved with the average age being 9.46 years (SD 2.95). Final visual acuity was better than 20/60 in 73 percent of the children. Visual acuity was poor in 27 percent of children. In children with poor visual acuity 44 percent of the patients had corneal opacity, 23 percent had retinal detachment and 18 percent had vitreous opacification secondary to trauma. Closed globe injury was seen in 72 percent of children and 28 percent had open globe injury. Conclusion: Male children were more prone to traumatic cataract than female children. Open globe injury with corneal laceration and opacity was the major cause of decreased visual acuity.

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“…In general, visual outcome following cataract surgery in children is worse than in adults, with visual deprivation due to early cataract onset, associated ocular developmental disorders, and delayed presentation being among the principal causes (Chaudhary, Lavaju, Shrestha, Shah, & Chaudhary, 2017). The intensive and prolonged treatment of children with congenital cataract is challenging and expensive (Wu, Long, Lin, & Liu, 2016).…”

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confidence: 99%

Prevalence and Factors Related to Visual Impairments in Children With Bilateral Cataract Following Surgery and the Potential Need for Education and Rehabilitation Services

Yahalom

Kochavi

Mechoulam

et al. 2022

Journal of Visual Impairment & Blindness

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Introduction Pediatric cataract is still a major cause for childhood visual impairment. The goal of our study was to analyze the prevalence of children with impaired vision (6/15 or worse) after surgery for bilateral cataract, to evaluate factors associated with it and to emphasize the importance for visual rehabilitation including the use of visual aids, educational measures, and social worker services. Methods Retrospective analysis of medical records from children who underwent surgery for cataract up to age 6 years, with a follow-up of at least 4 years. Clinical characteristics retrieved from medical records included visual acuity, presence of nystagmus and/or strabismus, age at surgery, intraocular lens (IOL) implantation, and others. Results Fifty-five children were included in the study. Follow-up ranged from 4 to 13 years (Mdn = 6.8). Visual impairment was found in 15/24 (62.5%) of children operated on before the age of 6 months (group 1), and in 7/31 (22.5%) n those operated after the age of 6 months (group 2; p = .019). Thirty-eight of the 55 children had a primary IOL implantation; nystagmus and microphthalmos were also associated with higher rates of visual impairment. Discussion Despite early and modern surgery, long-term visual outcome remains poor in children undergoing bilateral cataract surgery at young age. When discussing visual prognosis with parents, it is important to recognize factors associated with visual impairment, such as need for surgery before age 6 months, nystagmus and microphthalmos, as well as the importance for early visual rehabilitation services when needed. Implications for Practitioners Our study aims to highlight the high number of children left with visual impairment and blindness following modern and timely treatment for early cataract. Early referral for visual rehabilitation will optimize quality of life in these children and will probably allow a wider range of opportunities as adults.

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Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

Cited by 3 publications

References 14 publications

Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Visual Outcome of Pediatric Traumatic Cataract in Lumbini Eye Institute, Bhairahawa, Nepal

Prevalence and Factors Related to Visual Impairments in Children With Bilateral Cataract Following Surgery and the Potential Need for Education and Rehabilitation Services

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