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

Abstract

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.