Pediatric cataract surgery in Nepal

Abstract

Implantation of an IOL at the time of cataract extraction under combined systemic ketamine and peribulbar lidocaine anesthesia appeared to be well tolerated and produced significant visual improvement in pediatric patients in Nepal. Primary posterior capsulotomy and AV helped prevent visual axis opacification without a significant increase in complications.

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

“…Duration of symptoms to surgery has no significant association with visual outcome (P = 0.68) which is different from study done by Thakur et al (2004), in which it is stated that late presentation leading to deprivation amblyopia was the primary cause of a poor visual outcome.…”

“…The study showed that treatment significantly improved vision postoperatively (P=0.001) with 30% children achieving 6/18 or better and 70% children achieving 6/60 or better, which is similar to a study done in tertiary center in Kathmandu (Thakur et al, 2004). The visual outcome was better than the study done in tertiary eye center Lahan (Wilson et al, 2010) and poor than study done by Bowman in Tanzanian children (Bowman et al, 2007) and Cassidy in London (Cassidy et al, 2001).…”

Pediatric cataract surgery with hydrophilic acrylic intraocular lens implantation in Nepalese children

“…11 The rigid gas permeable PMMA lens has also been used by many surgeons, especially in developing countries. [12][13][14][15] The most important reason being the cost and easy availability. There are studies on the use of PMMA lenses in pediatric cataract surgeries with postoperative outcomes comparable with the foldable acrylic lenses.…”

Visual Recovery After Surgical Treatment in Children With Bilateral Congenital Cataract

“…29 On the other hand, studies from western India, 30 Nepal, 31 and Tanzania, 32 report visual improvement in cases of delayed cataract treatment. Some of the apparent contradictions across these studies stem from their small sample sizes, variable definitions of 'delay' and the inclusion of both early and late-onset cataracts.…”