Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

Chaudhary, Santosh; Lavaju, Poonam; Shrestha, Bhuwan Govinda; Shah, Sangeeta; Chaudhary, Sanjib Kumar

doi:10.3126/nepjoph.v9i2.19258

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…For PCO advised Nd: yag capsulotomy after 3 months of cataract surgery. (Figure 2) In our study 64% were male and 34% were female which is similar with other study, Chaudhary S et al 2017 9 in which 57% were male and 43% were female. Though all traumatic cataract (12%) were present in the male in our study because their outdoor activity is more than female.…”

Section: Resultssupporting

confidence: 91%

“…12 Visual axis opacification is the most common complication following paediatric cataract surgery. [13][14][15][16][17] In Choudhary S et al 2017 9 it was present in 75% of eyes, which did not undergo PPC, developed PCO while only 11.76%, which underwent PPC, developed PCO. In our study it was seen in 36% of cases which did not undergo PPC develop PCO.…”

Section: Resultsmentioning

confidence: 99%

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Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Rawate,

Hota,

Dulani

2024

IJCEO

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The aim of this study is to evaluate the various factors affecting the visual outcome of paediatric cataract surgery. Paediatric cataract is a huge problem of the world specially for developing and poor countries. Without treatment cataract can damage connection between brain and eye. So importance of early diagnosis and treatment can prevent permanent vision loss in children.Cataract in children can appear in variety of forms, each presenting in differencing in different way depending on the time. Sometime cataract associated with other ocular disease like coloboma, nystagmus, microphthalmos. These conditions are associated with poor prognosis. So proper visual rehabilitation of neuro- ophthalmic axis is crucial for good visual prognosis. All patients from 2 - 14 years of age who underwent cataract surgery in Department of Ophthalmology at BRLSABVMM College Rajnandgaon during 1- year period were included in the study. Detail history of patient, preoperative examination, ocular and systemic co-morbidity, intraoperative complications and post-operative outcome were documented and analysed. 25 patients underwent cataract surgery during this period.16 were male (64%) and 9 females (36%). Most common presenting symptom is diminution of vision in some cases nystagmus and strabismus also present. In some patient there is history of trauma also present. There was significant improvement in best corrected visual acuity following surgery in approx. 70% of patients. Visual axis opacification is most common complication after that fibrin reaction is other complication.: Improvement in vision in post operative paediatric cataract surgery due to early detection by parents and raise awareness by health workers of rural and urban area. Good visual outcome is depended on good infrastructure for operation theatre, advance microscope with instrument, advance cataract surgery with posterior capsulotomy and anterior vitrectomy, post-operative management and visual rehabilitation.

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Section: Resultssupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Rawate,

Hota,

Dulani

2024

IJCEO

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“…. An estimated 19 million children are visually impaired and 1.5 million are living with blindness with 1 million children recorded in Asia and 300,000 in Africa (Chaudhary et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Visual Outcome of Pediatric Traumatic Cataract in Lumbini Eye Institute, Bhairahawa, Nepal

Gurung

Bajracharya

2020

Nep J Oph

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Introduction: There are not many studies of pediatric trauma in Nepal. Therefore, this study was conducted to find out the visual outcome of pediatric traumatic cataract and causes of poor visual acuity. Materials and Methods: In this hospital based prospective study, all children visiting the pediatric department of Lumbini Eye Institute and Research Center with traumatic cataract and visual outcome after surgery from July 2018 to August 2019 were evaluated. A total of 136 children ranging from age (0 months to 15 years) with traumatic cataract were included in the study. Data on age of presentation, sex and diagnosis were collected from clinical charts and analyzed. Results: The study enrolled 136 cases with traumatic cataract. 72.1% male and 27.9% female patients were involved with the average age being 9.46 years (SD 2.95). Final visual acuity was better than 20/60 in 73 percent of the children. Visual acuity was poor in 27 percent of children. In children with poor visual acuity 44 percent of the patients had corneal opacity, 23 percent had retinal detachment and 18 percent had vitreous opacification secondary to trauma. Closed globe injury was seen in 72 percent of children and 28 percent had open globe injury. Conclusion: Male children were more prone to traumatic cataract than female children. Open globe injury with corneal laceration and opacity was the major cause of decreased visual acuity.

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“…It could be caused by either the timing of her surgery being over the critical period or the preverbal VA acuity testing technique be reevaluated. It is appropriate to (Chaudhary et al, 2017)Chaudary et al (2017 study stated that early presentation of cataract, nystagmus and poor visual acuity before surgery could influence the VA outcome after surgery.…”

Section: Resultsmentioning

confidence: 99%

Outcome of Visual Acuity Rehabilitation of Low Vision in Children after Congenital Cataract Surgery: A Case Series

W. Anandita,

Retno Wulandari

2023

AJHS

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Congenital cataract is the major cause of treatable visual impairment in children. The first 6 weeks of children’s age is the critical period for visual experience. Based on this, it is suggested that surgery in congenital cataract cases should be performed as soon as possible. The visual outcome after cataract surgery depends on the surgeon, the age of the children, and other visual conditions. Management of the visual rehabilitation in this case is very challenging. Most of the problem after congenital cataract surgery is amblyopia. The purpose of this paper is to report the visual acuity outcome after visual rehabilitation of children who had been performed cataract surgery. This case is a case series of the visual acuity outcome of children who had been performed bilateral cataract congenital surgery in dr Syaiful Anwar Hospital, Malang, Indonesia . The data was obtained from medical record and we compared the visual acuity before and after visual rehabilitation and the outcome based on their timing when they were performed the surgery and the visual acuity correction was obtained. There were 5 cases; 4 cases was bilateral aphakia because of microcornea and 1 case was bilateral pseudophakia with high myopia. Their ages ranged fom 20 months – 12 year old. Most of the children got spectacle for their visual acuity rehabilitation and the power of pectacle lens was based on streak retinoscopy. The aphakia and pseudophakia children obtained better visual acuity after visual rehabilitation. The younger the age in which they underwent surgery and the earlier they got visual correction after cataract surgery the better their visual acuity outcome will be. The success of visual rehabilitation depends on ocular condition, age, the visual rehabilitation technique and the compliance of the patients and the parents.

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Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

Cited by 5 publications

References 14 publications

Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Factors affecting the visual outcome of paediatric cataract surgery: A hospital based prospective study in tertiary eye care

Visual Outcome of Pediatric Traumatic Cataract in Lumbini Eye Institute, Bhairahawa, Nepal

Outcome of Visual Acuity Rehabilitation of Low Vision in Children after Congenital Cataract Surgery: A Case Series

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