Congenital Cataract: Management and Results

Jain, IS; Pillai, Parvathy; Gangwar, DN; Gopal, Lekha; Dhir, Shalini

doi:10.3928/0191-3913-19831101-07

Cited by 25 publications

(7 citation statements)

References 5 publications

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“…Complications: 35,36 Cataract surgery in children carries a higher incidence of complications than in adults 1.Increased inflammatory response in children can lead to fibrinous reactions, pigment deposits on the IOL, decentration of the IOL, and posterior synechiae. Intensive steroid therapy post operatively is utilised to combat this problem.…”

Section: Posterior-capsule Managementmentioning

confidence: 99%

Congenital Cataract- Approach and Management Review

Saha¹,

Kumari²,

Sinha³

2017

IOSR JDMS

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Childhood cataract remains a challenge to pediatric ophthalmologists despite recent major breakthrough in surgical techniques and instrumentation. Pediatric cataract is one of the major causes of preventable childhood blindness, affecting approximately 200,000 children worldwide, with an estimated prevalence ranging from three to six per 10,000 live births Congenital cataracts usually are diagnosed at birth. If a cataract goes undetected in an infant, permanent visual loss may ensue. The management of pediatric cataract is a team effort of ophthalmologist ,pediatrician,anaesthetist and parents and should be customized depending upon the age of onset, laterality, morphology of the cataract, and other associated ocular and systemic co-morbidities.This review attempts to summarize the available management options to these patients along with some analytical recommendations to optimise the outcome.

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Section: Posterior-capsule Managementmentioning

confidence: 99%

Congenital Cataract- Approach and Management Review

Saha¹,

Kumari²,

Sinha³

2017

IOSR JDMS

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“…Phacomorphic glaucoma was already more common in our country as the incidence of cataract far exceeds the total number of surgeries. [ 2 - 5 ]…”

Section: Introductionmentioning

confidence: 99%

Phacoemulsification in phacomorphic angle closure: Our experience

Farooq

Khan

Meena

et al. 2023

Saudi Journal of Ophthalmology

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PURPOSE: To evaluate intraocular pressure (IOP) control, visual prognosis, and complications following phacoemulsification in eyes with phacomorphic angle closure of <10 days’ duration. METHODS: Prospective, nonrandomized interventional consecutive case series included all patients with phacomorphic glaucoma who presented between November 2020 and November 2021. All patients underwent slit-lamp biomicroscopy, applanation tonometry, and gonioscopy of the other eye. Phacoemulsification with IOL implantation under topical anesthesia was performed in all cases. A complete ophthalmic examination was done at each follow-up visit. RESULTS: A total of 50 eyes with phacomorphic glaucoma were included in this study. The preoperative mean IOP was 41.12 ± 8.20 mmHg and the mean IOP at last visit was 13.84 ± 2.08 mmHg. There was a statistically significant difference between IOP at presentation and IOP at last follow-up ( P < 0.001) (Wilcoxon Signed-Ranks Test). There was no requirement of long-term anti-glaucoma medications in any patients. No significant intraoperative complications were noted. The final postoperative best-corrected visual acuity was 6/12 or better in 32 patients. Sixteen eyes had corneal edema and 20 eyes had anterior chamber inflammation on postoperative day one that resolved with standard medical therapy. CONCLUSION: Phacoemulsification is safe and effective in controlling IOP and achieving good functional visual acuity with minimal complications in the management of phacomorphic glaucoma in expert hands. Our study also lays emphasis on public awareness, early detection, and management of advanced cataract, so that the incidence of this potentially blinding entity can be reduced.

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“…Most common cause of unilateral cataract in the developing countries is trauma. 7,8 Common cause of bilateral cataract is long term use of systemic steroid. Approximately 50% of all bilateral cataracts and virtually all unilateral cataracts underlying cause is unidentified.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and visual outcome of childhood cataract at tertiary eye care centre in west central India

Ramteke¹,

Jain²,

Singh³

et al. 2021

IJCEO

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To study epidemiological profile of childhood cataract & visual outcome after cataract surgery in West Central India. Materials and Methods: Retrospective analysis of records was done for patients who were operated for childhood cataract from June 2018 to April 2020. Results: Total 244 eyes of 178 patients' included.100 were male & 78 female, mean ages at the time of surgery was 8.64 years (SD2.63 years). Of these 178 patients 102 (57.30%) had unilateral and 76 (42.69%) had bilateral cataract. Most of congenital and traumatic cataract belonged to 7 years to 12 years age group & developmental, complicated & others in age group of 13 years to 18 years. Visual axis opacification were noted in 14 patients due to posterior capsular opacification, corneal opacity and pigment deposition over IOL. Conclusion: Treatment of childhood cataract has evolved but delivering the facilities to patients has been a biggest challenge to health care providers. This can be improved by delivering accurate & frequent counseling to society including prevention, identification, intervention and rehabilitation and collaborating with government programs like RBSK and AYUSHMAN Bharat.

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Congenital Cataract: Management and Results

Cited by 25 publications

References 5 publications

Congenital Cataract- Approach and Management Review

Congenital Cataract- Approach and Management Review

Phacoemulsification in phacomorphic angle closure: Our experience

Epidemiology and visual outcome of childhood cataract at tertiary eye care centre in west central India

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