Simultaneous bilateral intraocular surgery in children

Purpose:To assess the outcomes of congenital/developmental cataract from a tertiary eye care hospital in Northwest Nigeria.Materials and Methods:A retrospective chart review was performed of all patients diagnosed with congenital or developmental cataract who underwent surgery from January 2008 to December 2009. Data were collected on patient demographics, preoperative characteristics, intraoperative complications, and postoperative outcomes as well as complications.Results:A total of 181 eyes of 102 patients underwent surgery. There were 95 (52.5%) right eyes. There were 64 (62.7%) males. The mean age of the patients was 6.88 ± 7.97 years. Fifty-four (51.3%) patients were below 3 years old. Most (62%) patients had congenital cataract with a history of onset within the first year of life [39 (62.9%) patients]. Amblyopia, nystagmus, and strabismus were the most frequent ocular comorbidities accounting for 50.3%, 36.5%, and 35.4% of eyes respectively. The majority (84.3%) of the patients had surgery within 6 months of presentation. All patients underwent manual small incision cataract surgery (MSICS). Seventy-nine (77.5%) patients underwent simultaneous bilateral surgery. Intraocular lens implantation was performed in 83.4% eyes. The most common early and late postoperative complication was, posterior capsular opacity which occurred in 65 eyes of 43 children. In these cases, moderate visual acuity was predominant visual outcome.Conclusion:Treatment of pediatric cataract in our setting is complicated by demographic factors which results in late presentation and consequently, late treatment of children. Short-term visual outcome is fair. Data on long term postoperative outcomes could not be acquired due to poor follow-up.

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“…Previous studies have reported that bilateral simultaneous cataract surgery in children is safe. 11 12 13 14 15 16 17 18 …”

Section: Discussionmentioning

confidence: 99%

Pediatric cataract surgery in national eye centre Kaduna, Nigeria: Outcome and challenges

Umar¹,

Algouti²,

Achi³

et al. 2015

Middle East Afr J Ophthalmol

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“…We hope the report will facilitate recognition and treatment of the condition and alert surgeons to the possibility of causing TASS through use of reusable instruments soaked in glutaraldehyde. Although simultaneous bilateral intraocular surgery in children may be safe, as stated in a recent report, 6 TASS could be a latent, catastrophic complication of such bilateral surgery.…”

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confidence: 94%

Toxic anterior segment syndrome after pediatric cataract surgery

Huang

Dai

Xiao-ming

et al. 2010

Journal of American Association for Pediatric Ophthalmology and

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“…Endophthalmitis following pediatric cataract surgery is a potentially blinding complication. 1,2 Due to its low incidence (0% to 0.45%), [3][4][5][6][7][8][9][10] it is difficult to conduct large-scale prospective studies. Our limited knowledge of this condition is derived from data extrapolated from studies on adults 11 and the scarce pediatric literature available that consists mostly of case reports and small series.…”

Section: Introductionmentioning

confidence: 99%

Endophthalmitis Following Pediatric Cataract Surgery: An International Pediatric Ophthalmology and Strabismus Council Global Perspective

Gharaibeh¹,

Mezer²,

Ospina³

et al. 2018

J Pediatr Ophthalmol Strabismus

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Endophthalmitis following pediatric cataract surgery is an uncommon, multifactorial complication with poor visual prognosis. Efforts directed at minimizing its risk, such as treating potential predisposing systemic conditions, improving sterilization techniques, optimizing operative conditions to reduce complications and surgery duration, and using subconjunctival and intracameral antibiotics, decrease its incidence. Early postoperative evaluation, subsequent follow-up visits, and keeping a high index of suspicion should facilitate the recognition of endophthalmitis following pediatric cataract surgery to avoid delaying treatment. [J Pediatr Ophthalmol Strabismus. 2018;55(1):23-29.].

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Simultaneous bilateral intraocular surgery in children

Cited by 15 publications

References 41 publications

Pediatric cataract surgery in national eye centre Kaduna, Nigeria: Outcome and challenges

Pediatric cataract surgery in national eye centre Kaduna, Nigeria: Outcome and challenges

Toxic anterior segment syndrome after pediatric cataract surgery

Endophthalmitis Following Pediatric Cataract Surgery: An International Pediatric Ophthalmology and Strabismus Council Global Perspective

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