Although most residents have an overall positive view about pediatric ophthalmology, few indicate interest in pursuing a fellowship. Specifically, most residents reported having a clinical role model in pediatric ophthalmology, perceiving a good job market, and liking strabismus surgery, whereas few residents had interest in further pediatric training and many found pediatric patients difficult to examine and income levels low.

Patients with ocular signs or symptoms of disease should receive urgent ophthalmic consultation. Consideration should be given to the usefulness of urgent consultations in patients suspected of having fungemia, sepsis, and headache.

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To study epidemiology, biometry and visual outcomes (with or without posterior capsulorhexis) in cases of pediatric traumatic cataract. This was a prospective observational study conducted on 30 children of traumatic cataract belonging to an age group of less than 16 years. All patients were subjected to detailed history and ocular examination. Patients underwent cataract surgery with or without intraocular lens (IOL) implantation. Posterior capsulorhexis with posterior optic capture was done in all patients presenting with primary posterior capsular opacity. All patients were followed up till 6 months and surgical outcomes in terms of Best Corrected Visual Acuity (BCVA), and visual axis opacification (VAO) were observed. Firecracker injury was found to be the most common causal agent, followed by arrow and ball injuries. Males were more commonly injured than females (70%:30%). Open-globe injury was more frequent than closed globe injury (CGI) (53.3%:46.7%). Anterior capsular rupture was the most frequent preoperative complication. Mean axial length was 22.53 which was not significantly different from the fellow eye. 3 patients were left aphakic, 10 patients underwent single piece IOL implantation and 16 patients underwent multipiece IOL implantation. Anterior chamber IOL (ACIOL) was implanted in one case. Intraoperatively 6 patients were found to have posterior capsular plaque and were implanted with multipiece IOL with posterior optic capture. Visual acuity significantly improved in 21 out of 30 eyes from baseline after cataract surgery (p<0.001). 9 patients (30%) had posterior capsular opacification (PCO) on follow up. Posterior capsular opacity in pediatric traumatic cataracts can be effectively managed with posterior capsulorhexis and posterior optic capture.

To study the keratometry of Indian pediatric eyes, the effect of speculum on keratometry reading, the concordance of hand held and automated keratometry and the effect of unilateral and bilateral cataract on keratometry and IOL power calculation. This was conducted as a cross- sectional observational study on 101 eyes of children in the age range of 41 post-conceptional weeks to 144 months. All cooperative patients were subject to automated keratometry followed by keratometry using hand held keratometer with and without speculum. Hand held keratometer with and without speculum documented significantly increased average K as well as astigmatism and decreased calculated IOL power when compared to automated keratometry (p<0.01). No significant difference in K readings was observed between unilateral and bilateral cataracts and among males and females (p>0.05). As the age increased, astigmatism increased significantly (R=0.07; p=0.007) whereas no such correlation was observed for keratometry (p>0.05). Hand held keratometry offers the convenience of obtaining accurate keratometry, astigmatism and IOL power measurements in children.