Evaluation of visual outcomes after pediatric cataract surgery in a Tertiary Eye Care Hospital in Western Maharashtra

Rishikeshi, Nikhil; Tripathi, Shubhi; Anushree, Kaduskar-Aney; Taras, Sudhir; Deshpande, Madan

doi:10.4103/2320-3897.174345

Cited by 5 publications

(2 citation statements)

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“…20 In the forceps capsulorhexis group, the male to female ratio was 1:1.3, while in the posterior vitrectorhexis group, it was 1:1.08. Nonetheless, Rishikeshi Nikhil 21 reported a male to female ratio of 1.2:1, which is nearly identical to the current study.…”

Section: Discussionsupporting

confidence: 90%

“…It is also important to note that the chances of postoperative inflammation and posterior capsule opacification (PCO) are higher in pediatric cases. 15,16,17 Although the outcomes of pediatric cataract surgery may not be as impressive as those of adult cataract surgery, it is still a crucial intervention as restoring a child's vision can greatly reduce the number of blind person-years. According to a study in Spain 18 , congenital cataract is the most common cause of pediatric cataract, while a study in central India 19 found trauma to be the leading cause of pediatric cataract.…”

Section: Discussionmentioning

confidence: 99%

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A comparative study on intraoperative complication with posterior vitrectorhexis versus forcepsorhexis before implantation of intraocular lens in children.

Naeem Akhtar Katpar,

Dur-e-yakta Durghahi Shaikh,

Zakaullah Gopang

et al. 2024

TPMJ

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Objective: To compare intraoperative complications in manual posterior capsulorhexis (forcepsorhexis) and posterior vitrectorhexis, before implantation of the IOL in patients of paediatric cataract surgery. Study Design: Observational study. Setting: Department of Ophthalmology, Shaheed Mohtarma Banazir Bhutto Medical University Larkana. Period: July 2021 to June 2022. Methods: Our study included patients within the age range of 1-12 years who were diagnosed with congenital cataract and did not exhibit any other abnormalities in the anterior or posterior segments. A comprehensive ophthalmic and systemic examination was conducted, and the patients were categorized into two groups: Group A for Forceps Capsulorhexis and Group B for Posterior Vitrectorhexis. Results: There were a total of 154 cases of paediatric cataracts that underwent surgical procedures known as Posterior capsulorhexis (forcepsorhexis) and posterior vitrectorhexis. Both groups had participants with ages ranging from 1 year to 12 years, with a minimum age of 1 year. The mean age for the Forceps Capsulorhexis group was 6.1+1.8 years, while the mean age for the Posterior Vitrectorhexis group was 6.9+1.3 years. The outcomes during surgery showed that in the Forceps Capsulorhexis group, 60 patients (77.92%) had organization of the capsular bag, while in the Posterior Vitrectorhexis group, 49 patients (63.63%) had organization of the capsular bag. Additionally, 55 patients (71.42%) in the Forceps Capsulorhexis group experienced vitreous thrust into the anterior chamber, compared to 66 patients (85.71%) in the Posterior Vitrectorhexis group. Conclusion: The safety and effectiveness of Forceps capsulorhexis as a treatment for paediatric cataract surpasses that of the posterior vitrectorhexis procedure, as concluded by our study.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

A comparative study on intraoperative complication with posterior vitrectorhexis versus forcepsorhexis before implantation of intraocular lens in children.

Naeem Akhtar Katpar,

Dur-e-yakta Durghahi Shaikh,

Zakaullah Gopang

et al. 2024

TPMJ

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Outcome of Paediatric Cataract Surgery After Phacoemulsification and Intraocular Lens Implantation.

Kumar¹,

Singh²,

Kaur³

et al. 2022

ijsr

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Purpose: Methods and Material:To study postoperative visual outcome and postoperative complications after paediatric cataract surgery. In this prospective interventional study in a tertiary centre Children between ages 1-15 years were operated on for cataract surgery and postoperative visual acuity was compared to preoperative visual acuity and postoperative complications were noted and managed. Visual rehabilitation was done using optical correction and amblyopia therapy. Comparison between groups was performed using independent sample t-testStatistical Analysis: and Chi-square test using IBM® SPSS® Statistics version 28. The mean age at surgery of 50 children was 6.8 ± 3.82 years. Out of 50, 32%Results: had congenital cataract and 68% had developmental cataract. Intraocular lens was implanted in 75 out of 80 eyes. Postoperative visual acuity was <6/60 in 21 (25.3%) eyes as compared to 60 (72.28%) eyes preoperatively (P < 0.001). 24 (28.9%) eyes had visual acuity >6/18 postoperatively. Poor postoperative visual acuity of <6/60 was signicantly higher in eyes with congenital cataract as compared to developmental cataract. Fibrin reaction was most common early (7.2%) and PCO was the most common late complication. Early diagnosis and surgery areConclusions: necessary for better visual outcome followed by optical rehabilitation and amblyopia therapy.

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North India Childhood Cataract Study - The real scenario and causes of surgical delay of pediatric cataract

Khokhar

Gupta

Rani

et al. 2022

Indian Journal of Ophthalmology

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Purpose: The study sought to describe the clinical presentation pattern of pediatric cataracts and factors leading to delay in surgery at a tertiary care center in North India. Methods: A cross-sectional, interview-based study was conducted from January 2020 to October 2020, that included pediatric patients <12 years, with unilateral or bilateral congenital or developmental cataract. A pre-validated questionnaire was used to record data. The parameters recorded were age at first symptoms, age at diagnosis of cataract, age at surgery, laterality of cataract, first symptom, first family member noticing the abnormality, the morphology of cataract, association of perinatal complications, family history, systemic diseases, and cause (s) of delay in surgery. Results: A total of 89 patients were included. The mean age of subjects was 4.75(±3.51) years. A white pupil was the most common symptom (64.04%) and appeared in infancy in 30.3% of cases. Parents first detected the problem in 60.67%, and the pediatrician was the first medical contact in 11.23% of cases. The median (IQR) delay period between diagnosis of cataract and cataract surgery was 4 (3–6) months, the major causes were long GA waiting (30.33%), and delay due to systemic ill health (14.61%). Conclusion: Parental education on cataract detection is recommended to help in the timely detection and hence, improved outcomes of pediatric cataract surgery. Pediatricians, consulted for any systemic illness, have the role of the second most important contact in the detection of pediatric cataract.

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Evaluation of visual outcomes after pediatric cataract surgery in a Tertiary Eye Care Hospital in Western Maharashtra

Cited by 5 publications

References 0 publications

A comparative study on intraoperative complication with posterior vitrectorhexis versus forcepsorhexis before implantation of intraocular lens in children.

A comparative study on intraoperative complication with posterior vitrectorhexis versus forcepsorhexis before implantation of intraocular lens in children.

Outcome of Paediatric Cataract Surgery After Phacoemulsification and Intraocular Lens Implantation.

North India Childhood Cataract Study - The real scenario and causes of surgical delay of pediatric cataract

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