scholarly journals Nursing Experience of 850 Cases on Centralized Cataract Surgery in CDPF Eyesight Recovery Project

2014 ◽  
Vol 3 ◽  
pp. 5
Author(s):  
Yueqing Miao
Keyword(s):  
Visual Acuity ◽  
Health Education ◽  
Cataract Surgery ◽  
Retrospective Analysis ◽  
Self Care ◽  
Nursing Experience ◽  
Careful Check ◽  
Preoperative Examination ◽  
Cataract Patients ◽  
Good Attitude

<strong>Objective</strong>: To explore and summarize the nursing experience of concentrated cataract surgery in CDPF eyesight recovery project. <strong>Method</strong>: Retrospective analysis of the nursing experience in 850 cases of CDPF cataract patients admitted to the hospital for surgery from June 2008 to July 2014. <strong>Results</strong>:<strong> </strong>Through planned, organized education of related knowledge, all patients showed stable emotion and good attitude. They could greatly cooperate in the surgery and master postoperative self-care methods. With fewer complications, their visual acuity was improved to a certain degree. They all reached the standards of blindness exclusion. <strong>Conclusion</strong>: Organized arrangements, centralized health education, perfect preoperative examination, rational sequencing, careful check and meticulous care were the successful basis of centralized cataract surgery in CDPF eyesight recovery project, which guaranteed a smooth surgery without errors or accidents.

scholarly journals Visual outcome and complications of manual small incision cataract Surgery (MSICS) in a peripheral CMH

2015 ◽  
Vol 10 (1) ◽  
pp. 14-18
Author(s):  
Md Abdullah Al Masum ◽  
Md Kamrul Hasan Khan ◽  
M Anwar Hossain
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Outcome ◽  
Cost Effective ◽  
Armed Forces ◽  
World Health ◽  
Military Hospital ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Cataract Patients

Introduction: Manual small incision cataract surgery (MSICS) is a cost-effective alternative to phacoemulsification cataract surgery for developing countries. This prospective study was carried out in Combined Military Hospital (CMH), Chittagong from October 2009 to March 2011 on 75 cataract patients who were operated by MSICS technique. Objectives: Aim of this study was to assess the visual outcome and complications of MSICS in a peripheral CMH. Methods: Seventy five cataract patients were operated by MSICS technique. All surgical procedures were performed by the principal author. Major per-operative and postoperative complications were documented. Visual outcome was assessed by Snellen’s visual acuity test 06 weeks after operation. Results: Uncorrected visual acuity (UCVA) was 6/6 – 6/18 in 57 (76.0%) patients, < 6/18 – 6/60 in 15 (20%) and < 6/60 in 03 (4.0%) patients. Best corrected visual acuity (BCVA) was 6/6-6/18 in 65 (86.7%) patients, < 6/18-6/60 in 07 (9.3%) and < 6/60 in 03(4.0%) patients. Visual outcome was good in 86.7% of patients according to World Health Orgnization (WHO) criteria and was not far away from the WHO expected outcome. Posterior capsule rupture was the most significant per-operative complication which was found in 7(9.3%) cases and surgically induced astigmatism was main postoperative complication that affected visual outcome. Mean postoperative astigmatism (against-the rule) was - 1.25DC. 14 JAFMC Bangladesh. Vol 10, No 1 (June) 2014 Conclusion: MSICS is a safe and cost-effective technique of extra-capsular cataract extraction where surgical skill and experience of the surgeon plays a significant role in the result. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22895 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

scholarly journals Preoperative visual acuity of cataract patients at a tertiary hospital in sub-Saharan Africa: a 10-year review

2019 ◽  
Vol 11 ◽  
pp. 251584141988645
Author(s):  
Mary O. Ugalahi ◽  
Obioma C. Uchendu ◽  
Linda O. Ugalahi
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Impairment ◽  
Tertiary Hospital ◽  
Mean Value ◽  
Sub Saharan Africa ◽  
College Hospital ◽  
Age Related ◽  
Preoperative Visual Acuity ◽  
Cataract Patients

Purpose: To determine the preoperative visual acuity of cataract patients over a 10-year period in a tertiary facility as a means of auditing the cataract surgical services. Methods: A retrospective study of patients with age-related cataracts who had cataract surgery performed between January 2007 and December 2016 at the University College Hospital, Ibadan. Systematic random sampling and probability proportionate to size were used to recruit a representative sample. Information on sociodemographic characteristics, preoperative visual acuity, ocular and systemic comorbidities were retrieved and analysed. Results: Of the 499 patients studied, males were 268 (53.7%) and their mean age was 67.69 (±9.51) years. The predominant visual acuity was hand motion 184 (36.9%) and yearly mean preoperative visual acuity was in the range of 0.0037–0.04 decimal. Conclusion: The mean preoperative visual acuity of patients in this facility did not change over the 10-year study period. Mean value of preoperative visual acuity remained within the range of blindness and did not improve over the decade. This could either be a reflection of visual impairment at which our patients seek care or an indication of the range of visual acuities at which surgeons are willing to offer cataract surgery in our environment. This trend has negative implications on the burden of cataract blindness as it reflects poor coverage of surgery for other levels of visual impairment due to cataract.

scholarly journals A COMPARISON OF THE EFFECTIVENESS OF HEALTH EDUCATION METHODS ON ANXIETY LEVELS AMONG PRE-CATARACT SURGERY PATIENTS IN CENTRAL JAVA, INDONESIA

2018 ◽  
Vol 4 (4) ◽  
pp. 162-167
Author(s):  
Shinta Restu Wibawa ◽  
Suharjo Suharjo ◽  
Ibrahim Rahmat
Keyword(s):  
Health Education ◽  
Cataract Surgery ◽  
Intervention Group ◽  
Hospital Setting ◽  
Nursing Intervention ◽  
Central Java ◽  
Lecture Method ◽  
Anxiety Levels ◽  
The Impact ◽  
Cataract Patients

Background: Not much is known about the impact of health education in reducing anxiety levels in pre-cataract surgery patients in Indonesia.Objective: The aim of this study was to compare the effectiveness of counseling and lecture methods using leaflet in reducing anxiety levels  among pre-cataract surgery patients in Central Java, Indonesia.Methods: This was quasi experiment with pretest- posttest design with two comparative groups at two hospitals in November 2014. It was 70 preoperative cataract patients selected using total sampling, which 35 randomly assigned to intervention group 1 and intervention group 2. The Analog Anxiety Scale (AAS) was used to measure anxiety levels. Data were analyzed using paired t-test and independent t-test.Results: There was a significant effect of health education using counseling and lecture method with leaflet media in reducing anxiety levels among preoperative cataract patients (p=.001). A counseling method was more effective than lecture method in dealing with anxiety levels (p=.001).Conclusion: Findings of this study can be used as a basis for development of nursing intervention in the hospital setting to reduce the anxiety levels among pre-cataract surgery patients.

scholarly journals Comparison of Nonphaco small incision Cataract Surgery with Conventional Method: An Observational Study

2019 ◽  
Vol 5 (2) ◽  
pp. 185-190
Author(s):  
Shamima Sultana ◽  
AQM Omar Sharif ◽  
Nazneen Begum ◽  
Salma Parveen ◽  
Wahida Begum ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Conventional Method ◽  
Perioperative Complications ◽  
Age Distribution ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Uncorrected Visual Acuity ◽  
Cataract Patients

Background: Cataract surgery is very important for the correction of visual acuity among the patients. Objective: The purpose of the present study was to assess the uncorrected visual acuity in small incision cataract surgery (SICS) with PCIOL than conventional method of ECCE with PCIOL implantation. Methodology: This cross-sectional study was conducted at National Institute of Ophthalmology, Dhaka, Bangladesh from January 1999 to December 2000 for a period of two (02) years. Patients with senile cataract were selected for study. A comparative study of changes in postoperative visual outcome and refractive status during post-operative follow up period up to 2 months were observed and documented between two groups of patients, one with suture less nonphaco SICS with PCIOL another with conventional ECCE with PCIOL. All the cataract surgery were done by the same surgeon, and in same place. All the patients were examined carefully both pre and post-operatively. For the purpose of recording, a proforma was made that includes particulars of the patient, complete history, general examination, ocular examination, relevant investigations, operation note, perioperative complications, post-operative follow-up, pre and post-operative visual acuity with keratometric reading. Result: A total of 60 eyes of cataract patients were included in the study of which 30 eyes of cataract patients were randomly selected for suture less nonphaco SICS with PCIOL and 30 eyes of cataract patients were for conventional ECCE with PCIOL.Mean age distribution (58.83±5.55 and 58.77±6.56) was similar in both groups. The unaided vision in both SICS & ECCE group at different postoperative intervals was reported. At day7 and month 1 postoperatively the result appears highly significant between the two groups. At day 1 and month 2 also shows the significant result between the 2 groups. The best corrected visual acuity in SICS and ECCE group at different postoperative intervals was measured. At day 7 and month 1 postoperatively the result appears highly significant between the two groups. At day 1 and month 2 also shows the significant result between the 2 groups.In SICS group out of 30 patients, 7(23.3%) cases acquired unaided vision 6/9 at day 1, 10(33.3%) patients at day 7,14(46.6%)patients at month 1 and 15(49.9%) patients at month 2. On the other hand in ECCE group no patient was found with vision ≥6/9 at day 1 and only one patient with vision ≥6/9 at day 7.At month 1 there were 5(16.6%) patients, and at month 2 there were 9(29.9%)patients with vision ≥6/9. Nearly 50.0% patients of SICS group achieve unaided vision of ≥6/9 within the follow up period of 02 months. Conclusion: In conclusion Uncorrected visual acuity in SICS cases were better than that of ECCE cases with sutures. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 185-190

scholarly journals Comparison of Visual Acuity between Post Small Incision Cataract Surgery and Phacoemulsification in Sanjiwani Hospital

2021 ◽  
Vol 3 (6) ◽  
pp. 101-104
Author(s):  
P. A. A. S. Surya ◽  
N. N. Sunariasih
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Retrospective Cohort ◽  
Total Population ◽  
Surgical Techniques ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Uncorrected Visual Acuity ◽  
The World ◽  
Cataract Patients

Cataracts are the second most common cause of blindness in the world at 33%. The incidence of cataracts is 0.1% of the total population, so the number of new cataract cases in Indonesia is estimated at 250,000 per year. This study aims to compare the visual acuity of post cataract surgery patients with Small Incision Cataract Surgery and Phacoemulsification techniques at Sanjiwani Hospital, Gianyar. This study was a retrospective cohort at Ophthalmologist’s Outpatient Departement of Sanjiwani Hospital, Gianyar, Bali. The sample of this study was 60 patients with 84 eyes with senile cataract. The surgical techniques performed were Small Incision Cataract Surgery (53.6%) and Phacoemulsification (46.4%). After that, an Uncorrected Visual Acuity (UCVA) examination was carried out on day 1 and day 42. The result were cataract patients at Sanjiwani Hospital, Gianyar aged 60-65 years who were male. Comparison of visual acuity after Small Incision Cataract Surgery and Phacoemulsification had the same results. On day 1 and day 42, there was no different uncorrected visual acuity result between Small Incision Cataract Surgery and Phacoemulsification statistically.

scholarly journals Efektivitas Health Education Pada Pasien Diabetes Melitus Terhadap Pencegahan Risiko Infeksi Pasca Operasi Katarak

2021 ◽  
Vol 6 (2) ◽  
pp. 98-104
Author(s):  
Jenny Saherna ◽  
Dessy Hadrianti ◽  
Misdayanti Misdayanti
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Education ◽  
Cataract Surgery ◽  
Vegetarian Diet ◽  
Current Status ◽  
Cataract Patients ◽  
Diabetes Melitus

ABSTRAKPasien pasca operasi katarak, perlu tahu bagaimana cara perawatan luka pasca operasi yang benar, agarmeminimalisir terjadinya resiko infeksi. Perawatan luka harus sesuai teknik aseptik untuk mengurangimikroorganisme sebagai salah satu faktor penyebab infeksi luka. Khususnya pada pasien dengan riwayatpenyakit diabetes mellitus, mereka membutuhkan pengetahuan dan keterampilan dalam merawat luka,dikarenakan memiliki gula darah yang rentan meningkat disetiap waktunya. Masalah ini menjadi salah satufaktor penghambat proses penyembuhan luka. Penelitian ini mengunakan metode kuantitatif dengan desainpre-eksperimen one group pretest–post test menggunakan nonprobablity sampling metode purposivesampling jumlah sampel 30 responden. Hasil penelitian menggunakan uji statistik Wilcoxon yangmenunjukan bahwa signifikan (p), sebesar 0,000 lebih kecil dari 0,05 (α), yaitu (p < α), artinya terdapatefektivitas yang signifikan antara health education pada pasien diabetes melitus terhadap pencegahan risikoinfeksi pasca operasi katarak. Penelitian ini menunjukkan bahwa perlu adanya kesadaran perawat untukmemberikan health education pasca operasi katarak pada pasien dan terlebih lagi, khususnya kepada pasiendengan riwayat penyakit diabetes melitus. Pihak rumah sakit perlu memasukan tindakan ini kedalam SOPpelayanan pasca operasi katarak agar bisa dijadikan tugas mutlak yang wajib dikerjakan, supaya terbinasaling kerjasama dalam meminimalisir kejadian infeksi luka, kecacatan dan mampu meningkatkan kualitashidup serta mengurangi biaya pasien untuk berobat ke rumah sakit. Kata Kunci: Health education, Pencegahan Risiko Infeksi, Diabetes Melitus, Perawatan Luka Operasi Katarak.   Daftar Rujukan Beyene, A. M., Eshetie, A., Tadesse, Y., & Getnet, M. G. (2021). Time to recovery from cataract and its predictors among eye cataract patients treated with cataract surgery: A retrospective cohort study in Ethiopia. Annals of Medicine and Surgery, 65(102275), 1–5. https://doi.org/10.1016/j.amsu.2021.102275 Chiu, T. H. T., Chang, C. C., Lin, C. L., & Lin, M. N. (2021). A Vegetarian Diet Is Associated with a Lower Risk of Cataract, Particularly Among Individuals with Overweight: A Prospective Study. Journal of the Academy of Nutrition and Dietetics, 121(4), 669-677.e1. https://doi.org/10.1016/j.jand.2020.11.003 Chua, S. Y. L., Luben, R. N., Hayat, S., Broadway, D. C., Khaw, K. T., Warwick, A., Britten, A., Day, A. C., Strouthidis, N., Patel, P. J., Khaw, P. T., Foster, P. J., & Khawaja, A. P. (2021). Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts. Ophthalmology, 128(6), 837–847. https://doi.org/10.1016/j.ophtha.2021.02.007 Dede Achmad Basofi, Wilson, M. A. (2016). Hubungan Jenis Kelamin, Pekerjaan Dan Status Pernikahan Dengan Tingkat Kecemasan Pada Pasien Operasi Katarak Di Rumah Sakit Yarsi Pontianak. Dewanti Widya Astari, S. R. (2021). STRATEGI PENANGANAN ASUHAN KEPERAWATAN TERKAIT ENDOFTALMITIS: A LITERATURE REVIEW. Jurnal Ilmiah Permas, 11(4), 705– 718. Dian Sukma Dewi Arimbi, Lita, R. L. I. (2020). Pengaruh Health education terhadap Motivasi Mengontrol Kadar Gula Darah pada Pasien DM Tipe II. Jurnal Keperawatan Abdurrab, 4(1), 66–76. Febri Nadyati, Rani Himayani, Giska Tri Putri, M. Y. (2019). Hubungan Durasi Menderita Diabetes Melitus Tipe 2 dengan Kejadaian Katarak di RSUD DR.H.Abdul Moeloek Provinsi Lampung. ESSENTIAL:Essence of Scientific Medical Journal, 17(1), 1–4. Gülşen, M., & Akansel, N. (2020). Effects of Discharge Education and Telephone Followup on Cataract Patients’ Activities According to the Model of Living. Journal of Perianesthesia Nursing, 35(1), 67–74. https://doi.org/10.1016/j.jopan.2019.04.010 Harun, H. M., Abdullah, Z., & Salmah, U. (2020). Pengaruh Diabetes, Hipertensi, Merokok dengan Kejadian Katarak di Balai Kesehatan Mata Makassar. Jurnal Kesehatan Vokasional, 5(1), 45. https://doi.org/10.22146/jkesvo.52528 Jeong, I. S., & Lee, E. J. (2021). Current Status and Associated Factors of Annual Eye Examination Among People with Type 2 Diabetes Mellitus: Using the 7th National Health and Nutrition Examination Survey. Asian Nursing Research, 15(4), 239–246. https://doi.org/10.1016/j.anr.2021.07.003 Maryati Tombokan, sukma saini, Masdiana AR, M. R. N. A. (2017). HUBUNGAN DUKUNGAN KELUARGA DENGAN MOTIVASI DALAM MENGONTROL KADAR GULA DARAH PADA PENDERITA DIABETES MELITUS DI WILAYAH KERJA PUSKESMAS PAMPANG KECAMATAN PANAKKUKANG KOTA MAKASSAR. Jurnal Media Keperawatan, 08(02), 39–45. Qurrat, D., & Silvia, M. (2018). Hubungan Pengetahuan Dan Sikap Keluarga Dengan Perawatan Post Operasi Katarak Di Poli Mata Rsud Pariaman. Jurnal Kesehatan Medika Saintika, 09(2), 108–113. Rahani Ayu Amalia, Dwi Utari Widyastuti, P. (2019). PENGETAHUAN DAN KEPATUHAN KLIEN TENTANG PERAWATAN POST OPERASI KATARAK. Jurnal Keperawatan, XII(2), 115–120. Sitompul, R. (2015). Perawatan Lensa Kontak untuk Mencegah Komplikasi Ratna Sitompul. EJournal Kedokteran Indonesia, 3(1), 77–85. https://doi.org/10.23886/ejki.3.4811. Thompson, J., & Lakhani, N. (2015). Cataracts. Primary Care - Clinics in Office Practice, 42(3), 409–423. https://doi.org/10.1016/j.pop.2015.05.012 Torabi, H., Sadraei, M., Jadidi, K., & Alishiri, A. A. (2019). Choroidal thickness changes following cataract surgery in patients with type 2 diabetes mellitus. Journal of Current Ophthalmology, 31(1), 49–54. https://doi.org/10.1016/j.joco.2018.07.004

First Postoperative Day Visual Outcome Following 6 mm Manual Small Incision Cataract Surgery Using Intratunnel Phacofracture Technique

2014 ◽  
Vol 07 (01) ◽  
pp. 26 ◽  
Author(s):  
Sudhir Singh ◽  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Low Cost ◽  
Visual Outcome ◽  
Cataract Extraction ◽  
Research Centre ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Uncorrected Visual Acuity ◽  
Cataract Patients

Object:To study first postoperative day visual outcome following 6 mm manual small incision cataract surgery (MSICS) using intratunnel phacofracture technique.Design:Retrospective design.Setting:Tertiary eye care centre.Participants:A total of 216 patients who underwent MSICS performed by a single surgeon at the JW Global Hospital & Research Centre, Mount Abu, India from April 2012 to March 2013. Cataract patients with any other ocular comorbidity were not included. One hundred and thirty-six cataract patients (72 male/64 female) with a mean age of 59.75 years (range 40–80 years) were included in the study. All surgeries were performed by a single surgeon using the 6 mm MSICS intratunnel phacofracture technique.Outcome measures:The first postoperative uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), and rates and types of complications were recorded.Results:A total of 136 surgeries were performed using the 6 mm MSICS intratunnel phacofracture technique. All the surgeries were performed by a single experienced surgeon. The mean UCVA and mean BCVA at first postoperative day were 0.367 (Snellen equivalent 20/46) and 0.226 (Snellen equivalent 20/33) log MAR units, respectively. No serious peri- and postoperative complications were encountered.Conclusions:The 6 mm MSICS is a safe, fast, and low-cost cataract extraction technique. It is an effective alternate to costly phacoemulsification.

scholarly journals Cataract surgery barriers, cataract surgical coverage and outcome among rural population of Dhule district in Maharashtra

2020 ◽  
Vol 7 (12) ◽  
pp. 5115
Author(s):  
Sarika P. Patil ◽  
Muralidhar P. Tambe ◽  
Mukram G. G. Khan ◽  
Prashant J. Patil ◽  
Mukesh S. Bawa ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Impairment ◽  
Rural Population ◽  
Sampling Technique ◽  
Population Based ◽  
Cluster Sampling ◽  
Cataract Operation ◽  
God's Will ◽  
Cataract Patients

Background: In India the coverage and outcome of cataract management are through camps and hospital undertaking rural cataract surgical services. There are varied outcomes of cataract surgery in population based studies within our country while cataract surgical outcomes have inbuilt dependency on various factors. National program for control of blindness and visual impairment aims in improvement of vision of the cataract patients. Thus evaluating cataract outcome would help top strengthen the national program.Methods: The study was part of population based blindness survey carried out among 40 years and above rural population in Dhule district of Maharashtra during 2019. In the survey 2370 villagers, 40 years and above were surveyed for blindness prevalence by 30 Cluster sampling technique having 79 peoples from each cluster. Collection of baseline data with information of eye care services and ophthalmic examination was done.Results: Prevalence of cataract in 40 year and above population in study was 20.78%. In present study predominant barrier in cataract operation in 71.1% participants for not having consultation was belief it to be destiny or God’s will.  20.3% cataract patients with visual impairment had visual acuity of 6/60 and 18.4% had less than 3/60 visual acuity. Maximum participants had cataract operated in government hospital 61.7%. In the study cataract surgical coverage was 72.7% by eyes and 81.7% by person for visual acuity <3/60.Conclusions: Efforts to increase cataract surgical coverage would help to reduce the prevalence of visual impairment due to cataract.

CLINICAL CHARACTERISTICS AND RESULTS OF CATARACT SURGERY IN THE SMALL PUPIL EYE BY PHACOEMUSIFICATION

2018 ◽  
pp. 79-82
Author(s):  
Van Minh Pham ◽  
Van Nam Phan ◽  
Thi Thu Nguyen
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Clinical Characteristics ◽  
Low Vision ◽  
Sample Selection ◽  
Posterior Chamber ◽  
Good Visual Acuity ◽  
Before And After ◽  
Grade Ii ◽  
Small Pupil

Objectives: To investigate the clinical characteristics of cataract patients with small pupils and to evaluate the result of cataract surgery on the eye have small pupils by phacotechnique. Subjects and methods: Descriptive study, prospective, uncontrolled interventions. Sample selection. The sample size of 70 patients with 70 eyes of cataracts with small pupils was treated by phaco technique and intraocular lens implant within posterior chamber. Follow up to 3 months. Results: 70 eyes, the percentage of men and women was not different from 54.2% (38 male) compared to 45.8% (32 female). The mean age was 80 ± 8.74, from 58 to 99 years. The disease was mainly found in the age group over 70 years old with over 80% (51.5%). Visual acuity before surgery was very poor under 3m CF (count finger) for 68.6% (48/70). Visual acuity over 1/10 was only a small amount with 2.8% (2 eyes). Pseudoexfoliation was the most common reason complications of mydriasis with 32/70 eyes (45.7%) and 22/70 eyes (31.4%) for age. The preoperative pupilarysizewas mostly small with 63/70 eyes (90.0%), non-dilated pupils (7/70 eyes) (10.0%). Average pupil size was 3.34 mm (2 - 4mm). Iris condition: iris atrophy 20/10 eyes (28.6%), iris synechiae 11/10 (15.7%), irregular iris muscle with 51, 4% and good iris muscle accounted for 48.6%. Grade of cataract: Grade III: 31/70 eyes (44.3%), Grade IV: 32/70 eyes (45.7%), Grade II: 5/70 eyes (7.1%) and V:2/70 eyes (2.9%). Pupil expander technique: OVD injection with 42/70 eyes (60%), using iris hook with 23/70 eyes (32.9%). Pupillary size before and after intervention has changed from 3.7mm to 4.48mm. Conclusions: Iris expander techniques have been shown to have good dilated pupils: 60.0% OVD injection, iris hook was 32.9%, other methods 7.1% One-week visibility of good visual acuity was higher than that of postoperative one day (12.2%) and increased at 1 month and 3 months (20.0%). Very good visual acuity was not available and low vision group was 1.4% after 3 months. Key words: cataract surgery; phacoemusification, small pupil

Pediatric Cataract Surgery: Comparison between Ages at Surgery and Contrast Sensitivity Outcomes

2019 ◽  
Vol 43 (1) ◽  
pp. 50
Author(s):  
Aquirina Caesari Putri ◽  
Rozalina Loebis
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Contrast Sensitivity ◽  
Cataract Extraction ◽  
Significant Negative Correlation ◽  
Natural World ◽  
P Value ◽  
Pediatric Cataract ◽  
Low Contrast ◽  
Significant Difference

Background: Pediatric cataracts are major causes of children’s blindness. Surgery has proven to be beneficial in terms of visual function prognosis. Contrast sensitivity evaluation after surgery is as important as visual acuity considering that natural world consists of various objects in low-to-medium contrasts. The purpose of this study is to analyze the difference of contrast sensitivity outcomes based on ages at surgery. Method: Retrospective data of children with pediatric developmental cataract from July 2013 to November 2015 were collected. All children who underwent cataract surgery at 60-months-old or less were randomized into two groups, ≤24 months and >24-to-60 months. Contrast sensitivity was then examined with preferential-looking method using Hiding Heidi low-contrast test face chart. The main outcome measures were contrast sensitivity of both groups. Age-at-evaluation, cataract onset, duration of follow-up, duration of deprivation and visual acuity were also noted. Result: Of 14 children (23 eyes), 11 eyes (47,8%) were in ≤24 months group, 12eyes (52,2%) were in >24-to-60 months group. All eyes underwent cataract extraction and similar type of intraocular lens implantation. Mean age-at-surgery was 28,2 months±16,8 (SD). Mean contrast sensitivity for each group was 47,50 %±42,29 and 18,33%±27,38, respectively, with p-value 0,031. Further analysis of Spearman’s correlation test demonstrated significant negative correlation (rs = -0,559; p = 0,006) between the two groups. Conclusion: There was statistically significant difference in contrast sensitivity between those who underwent surgery at ≤24 months and >24-to-60 months. Children who underwent surgery at older ages tend to have better contrast sensitivity afterwards.

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