Visual Outcome After Pediatric Cataract Surgery In A Tertiary Eye Care Hospital

Purpose. To determine and to analyze the outcome of pediatric cataract surgery. Methods. A retrospective chart review of individuals aged up to 10 years who underwent cataract surgery between January 1, 2004, and December 31, 2014, at the UniversityHospital Zurich, Switzerland. Results. 63 children (94 affected eyes) with bilateral (68/94) or unilateral (26/94) cataract were identified. Surgery was performed at a median age of 1.5 months (IQR: 1.3–2.6 months) for the aphakic group (45/94) and of 50.7 months (IQR: 38.0–78.4 months) for the IOL group (49/94). At the last follow-up visit (median 31.1 months, IQR: 18.4–50.2 months), visual acuity was better in bilateral than in unilateral cataract cases. Posterior capsular opacification (PCO) was diagnosed in 30.9% of eyes without a significant difference in the IOL and aphakic groups (p=0.12). Aphakic glaucoma was diagnosed in 12/45 eyes at a median of 6.8 months (IQR 2.1–13.3 months) after surgery. Microcornea (5/12) and anterior segment anomalies (8/12) were associated with glaucoma development (p<0.05). Conclusion. Laterality and timing of surgery influence the outcome of pediatric cataract surgery. PCO was the most frequent postoperative complication. Aphakic glaucoma is often associated with ocular developmental abnormalities and a poor visual outcome.

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Second intraocular surgery after primary pediatric cataract surgery: indications and outcomes during long-term follow-up at a tertiary eye care center

Eye ◽

10.1038/eye.2016.170 ◽

2016 ◽

Vol 30 (9) ◽

pp. 1260-1265 ◽

Cited By ~ 3

Author(s):

V Sachdeva ◽

S Katukuri ◽

MdH Ali ◽

R Kekunnaya

Keyword(s):

Cataract Surgery ◽

Care Center ◽

Eye Care ◽

Pediatric Cataract ◽

Intraocular Surgery ◽

Long Term Follow Up ◽

Pediatric Cataract Surgery

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Should Posterior Vitrectomy be Made a Priority in Ophthalmic Facilities of Sub Sahara Africa?

The Open Ophthalmology Journal ◽

10.2174/1874364101307010001 ◽

2013 ◽

Vol 7 (1) ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Oluleye Tunji Sunday

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Vitreous Hemorrhage ◽

Visual Outcome ◽

Pediatric Cataract ◽

College Hospital ◽

Vitreous Opacities ◽

Pediatric Cataract Surgery ◽

A Priority ◽

The University

Background: Posterior vitrectomy facilities are lacking in Sub Sahara Africa due to paucity of trained personnel in vitreo retinal subspecialty. More cases are seen needing vitrectomy, especially cases with vitreous opacities and complications of cataract surgery as more residents are being trained. The review will aim to determine whether vitrectomy facility should be a priority as part of ophthalmic facility in the region. Method: A 3 year review was carried out. All cases of posterior vitrectomy performed at the retinal unit of the University College Hospital, Ibadan, Africa between 2008 and 20011 were retrieved. Indications, and visual outcome were documented. Proportions and percentages were used to analyse the data. Results: Sixty six posterior vitrectomies were performed during the period. The most common indication for vitrectomy was vitreous hemorrhage n=30 [45.5%].Complication of cataract surgery such as dropped intraocular lens 7 [10.7%], sclera fixated intra ocular lens 6 [9.2%], and dropped nucleus 5 [7.5%] were emerging indications. Other indications noted include complicated retinal detachments 4 (6.1%), membranectomy for posterior capsule opacity from pediatric cataract surgery 3 (4.5%) and congenital lens subluxation 2 (3.0%). Improved visual outcome was noted after surgery. Forty nine [75%] eyes were blind [visual acuity of < 3/60] before vitrectomy. This proportion dropped to 24 [37%] after vitrectomy with an additional 24% regaining navigational vision [visual acuity of 3/60 to Counting fingers at 1meter] . Conclusion: Vitrectomy should be an integral part of eye care and its availability should be made a priority in ophthalmic facilities of Sub Sahara Africa, especially those involved in ophthalmology training.

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VISUAL OUTCOME AND COMPLICATIONS OF PEDIATRIC CATARACT SURGERY AT LUMBINI EYE INSTITUTE, NEPAL

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v3i2.14289 ◽

2016 ◽

Vol 3 (2) ◽

pp. 35-38

Author(s):

Hari Bahadur Thapa ◽

Salma KC Rai ◽

Arjun Malla Bhari ◽

Ken Bassett

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Intraoperative Complications ◽

Demographic Data ◽

Visual Outcome ◽

Posterior Capsular Opacification ◽

Eye Care ◽

Pediatric Cataract ◽

Hospital Administrative

INTRODUCTION: Pediatric eye care, including cataract surgery, has become much more common in Nepal in recent years in tertiary facilities such as the Lumbini Eye Institute (LEI). This study provides the first report of visual outcome and complications after cataract surgery at that Institute. MATERIAL AND METHODS: This is a prospective observational study of all cataract surgical patients <16 years of age between March 1, 2011, and February 28, 2012. Visual outcome was assessed by two optometrists with pediatric eye care training. Clinical data were gathered in a specifically designed pediatric eye program database and demographic data were taken from hospital administrative records. RESULTS: In 2011-12, 334 children (248 boys [74%]) underwent cataract surgery, including 89 Nepali (27%) and 245 Indian (73%) children. In total, 320 (96%), 270 (81%), and 190 (57%) attended their first, second and third follow up visits respectively. Pre-operative visual acuity was <6/60 (91%), 6/60 to <6/18 (7%) and >6/18 (2%). Post-operatively, visual acuity was <6/60(27.5%), 6/60 to <6/18 (36.5%) and 6/18 or better (36%). The mean best corrected visual acuity was 6/38 first follow up, 6/34 second follow up, and 6/30 third follow up. Intraoperative complications were 1.6% pupillary capture and post-operative complications were 35.3% posterior capsular opacification (PCO). CONCLUSION: For 63% of children, visual acuity significantly improved with cataract surgery beyond their presenting vision of <6/60, with over 38% of children achieving visual acuity (>6/18). Follow up beyond one month needs significant improvement to treat postoperative complications particularly posterior capsular opacification.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10Page: 35-38

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Visual outcomes of cataract surgery: An observational study of ten years from a tertiary eye care hospital in Pakistan

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.7.4428 ◽

2021 ◽

Vol 37 (7) ◽

Author(s):

Shahid Ahsan ◽

Muhammad Saleh Memon ◽

Sadia Bukhari ◽

Tauseef Mahmood ◽

Muhammad Faisal Fahim ◽

...

Keyword(s):

Observational Study ◽

Cataract Surgery ◽

Visual Impairment ◽

Visual Outcome ◽

Care Hospital ◽

Eye Care ◽

Visual Outcomes ◽

Creative Commons ◽

Good Visual Outcome ◽

Visual Assessments

Objectives: To observe and analyze the visual outcomes of cataract surgery of ten years at a tertiary eye care hospital, Karachi. Methods: An observational study with retrospective data search was conducted in Al Ibrahim Eye Hospital (AIEH), Karachi. Data of all adults (above 16 years) who underwent cataract surgery from 2010-2019 was retrieved from HIMS. Presence of opacity in the lens was labelled as cataract. Surgery was advised when patient’s BCVA was found to be 6/18. Visual assessments of the patients were done on day 01, one week and six weeks postoperatively. Postoperatively, 6/6 – 6/12 was considered as good, 6/18 as mild visual impairment, < 6/18 to 6/60 as moderate visual impairment and < 6/60 as severe visual impairment. Results: A total of 1,027,840 patients visited AIEH with different eye diseases. Among 1027840 individuals, cataract was identified in 88443 (8.6%). Surgery was advised to 58371 and performed in 38616. Records of operated cases (38616) were retrieved. Mean age of patients was 54.96±14.22 years. There were 20578 (53.29%) males and 18038 (46.71%) females who underwent surgery . At the end of sixth week, 3561 (18.4%), patients were found to have “good vision”, 12242 (63.43%) had mild visual impairment, 2676 (13.86%) had moderate visual impairment and 822 (4.26%) had severe visual impairment. Corneal Complications was the commonest cause (33.56%) at sixth week. Conclusions: The institution achieved WHO recommended criteria of “good visual outcome” (6/6 to 6/18) of 81.83% which is near to recommended ≥ 90% and severe visual impairment of 4.26%. doi: https://doi.org/10.12669/pjms.37.7.4428 How to cite this:Ahsan S, Memon MS, Bukhari S, Mahmood T, Fahim MF, Haseeb U, et al. Visual outcomes of cataract surgery: An observational study of ten years from a tertiary eye care hospital in Pakistan. Pak J Med Sci. 2021;37(7):---------. doi: https://doi.org/10.12669/pjms.37.7.4428 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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