Follow-up patterns and associated risk factors after paediatric cataract surgery: observation over a 5-year period

Chougule, Pratik; Murat, Shamsiya; Mohamed, Ashik; Kekunnaya, Ramesh

doi:10.1136/bjophthalmol-2017-311294

Cited by 9 publications

(9 citation statements)

References 18 publications

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“…The study by Chougule and associates has reported a loss of follow-up from 85% at 1-month postsurgery to 52% at the end of 1 year 19. In our study, despite regular reminders for follow-ups through telephone calls and text messages, the rate of follow-ups dropped from almost 100% on the first postoperative day to 50% at 6 months.…”

Section: Discussioncontrasting

confidence: 71%

Visual outcomes and complications in infantile cataract surgery: a real - world scenario

et al. 2022

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ObjectiveTo evaluate visual outcomes and complications of infantile cataract surgery through a 1-year follow-up period in a real world scenario.Methods and analysisProspective observational study evaluating infants with cataract undergoing surgery.ResultsWe analysed 173 eyes of 97 infants (76 bilateral); median age 18.7 weeks, (IQR: 11–33.9 weeks). Toxoplasmosis, rubella, cytomegalovirus and herpes infection was the most common aetiology in both unilateral 10 (47.6%) and bilateral 43 (55.1%) cases, followed by familial and syndromic cases. Fifty-four eyes (29.5%) received primary intraocular lens (IOL) implantation.Seventy-five infants (76%) were less than 6 months of age. At 1-year follow-up, mean log MAR best-corrected visual acuity was 1.00±0.08 and 1.21±0.03 in unilateral and bilateral cases respectively (p=0.012), which was not statistically significant. At 1-year follow-up, pseudophakic(1.09±0.05) eyes had a better mean log MAR visual acuity comparing aphakes(1.24±0.04) clinically but was not statistically significant after the application of Bonferroni correction (p=0.012). The mean myopic shift of −2.9 D±0.39 and −4.53 D±0.55 over 1 year was noted in aphakes and pseudophakes, respectively (p=0.016). Visual axis opacification and glaucoma were the most common complications noted in pseudophakes and aphakes, respectively.ConclusionPrimary IOL implantation in selected cases of infantile cataract is a feasible option, particularly in cases when optimal aftercare and refractive rehabilitation of aphakia are not possible.

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Section: Discussioncontrasting

confidence: 71%

Visual outcomes and complications in infantile cataract surgery: a real - world scenario

et al. 2022

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“…has suggested that age at surgery and low socioeconomic status are the most important factors associated with poor follow-up. [ 30 ] The poor outcome in our cohort could be due to delayed presentation (43%, n = −151), amblyopia due to the unilateral nature of cataract (42%, n = 147), and other comorbid factors like strabismus 32%, nystagmus 16%, and surgical aphakia 27% ( n = 147). We believe that timely follow-up and appropriate interventions could have addressed a few of these, such as coexisting amblyopia (primarily deprivational but possibly also strabismic and anisometropic amblyopia in aphakia) by appropriate refractive correction and early institution of amblyopia therapy.…”

Section: Discussionmentioning

confidence: 99%

Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts

Majhi

Sachdeva

Warkad

et al. 2021

Indian Journal of Ophthalmology

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Purpose: The purpose of this study is to describe the demographic profile, clinical features, visual outcomes, and follow-up patterns after successful cataract surgery in children from the tribal community in Odisha, India. Methods: We retrospectively reviewed records of tribal children aged 4 months–16 years, who underwent public health financed cataract surgery at our institute from January 1, 2015, to December 31, 2019. Collected data included demographic profile, clinical features, outcomes, and follow-up. Univariate and multivariate linear regression identified factors affecting the visual outcome at a 6-week follow-up. Results: During this period, a total of 352 children [536 eyes; mean age: 9.11 ± 4.4 years, 219 boys (62%)] underwent cataract surgery. The most common etiology and presenting complaints were idiopathic congenital cataract and decreased vision, respectively. In 304 children (86%), presenting best-corrected visual acuity (BCVA) was <20/200 (1.0 LogMAR), 113 (32%) had associated strabismus, and 57 (16%) had associated nystagmus. The public health agency did not sponsor postoperative follow-up, and only 195 (56%) and 61 (17.3%) children completed a 6-week and a 3-month follow-up, respectively. Median BCVA at 6-week and 3-month review was 20/125 (0.8, interquartile range [IQR], 0.2–2 LogMAR) and 20/60 (0.5, IQR, 0.25–1.35 LogMAR), respectively. Conclusion: This study showed that children from the tribal community presented late with poor presenting VA and had suboptimal visual outcomes with inconsistent follow-ups. Greater advocacy, delivery of care closer to the place of residence, and financial support for follow-up care could improve early detection, regular evaluation, and outcomes.

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“…50% of patients showed improvement, according to Lai et al 22 . According to Magnusson et al, 52% of children had better vision after surgery 23 . In first month of the follow-up period; no improvement in visual acuity was seen, but in later follow-ups, the majority of patients had good vision with a mean log MAR value of 0.5.…”

Section: Discussionmentioning

confidence: 99%

Study to Determine the Outcomes of Congenital Cataract Surgery

Zahir¹,

Bhatti²,

Khan³

et al. 2022

PJMHS

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Objective: The aim of this study is to determine the outcomes of congenital cataract surgery. Place and Duration: Ophthalmology department of Hayatabad Medical complex Peshawar and Alshifa Trust Eye Hospital Rawalpindi for the duration from January 2022 to June 2022. Methods: A total of 200 eyes of 130 patients aged 3 to 8 with visually significant congenital cataracts (diameter ≥ 3 mm) were included in the interventional study. In all cases, posterior capsulotomy and anterior vitrectomy were performed. All patients were followed-up for six months. At follow-up; the patients’ surgical complications were managed along with treatment of amblyopia and visual acuity assessment was done. After six-months of follow-up; final outcome of congenital cataract surgery in relation of visual acuity was evaluated. Results: At the conclusion of the study, good vision was achieved in 52% of patients, and the better visual outcome was higher significantly in the younger age groups. The communal complication in our analysis was the fibrinous reaction. Conclusions: This study shows that early surgery for congenital cataract is beneficial and safe practice to obtain good visual acuity. Keywords: Congenital Cataract, Amblyopia, Visual Outcomes.

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Follow-up patterns and associated risk factors after paediatric cataract surgery: observation over a 5-year period

Abstract: Curve of loss to follow-up is logarithmic in children undergoing paediatric cataract surgery. Age at surgery and low economic status are the most important factors associated with poor follow-up.

Cited by 9 publications

References 18 publications

Visual outcomes and complications in infantile cataract surgery: a real - world scenario

Visual outcomes and complications in infantile cataract surgery: a real - world scenario

Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts

Study to Determine the Outcomes of Congenital Cataract Surgery

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