Cost Effective Management Of Idiopathic Early Onset Cataract With Good Outcome For Young Adult Patient : A Case Report

Early onset cataracts in young adults present unique challenges due to their impact on daily functioning and quality of life. This report explores the case of a young adult diagnosed with idiopathic early onset cataract (IEOC), shedding light on the clinical presentation, management strategies, and long-term outcomes. Despite advancements in cataract surgery, managing cataracts in this age group requires careful consideration of visual rehabilitation, potential complications, and psychosocial implications.

To report an IEOC formation in young adults and the best option of lenses to optimize the patient's needs, lifestyle and cost effectiveness.

Phacoemulsification  was done by an ophthalmologist at one of VISTA Eye Specialist centers, Selangor, Malaysia.

A 19-year-old male Malay came to our center complaining of blurring of vision that was unable to be corrected with optical aid. Patient has no history of ocular related to trauma, intake of medication that may cause cataract or any family members that had early cataract onset. Patient is healthy with no known medical disease or illness apart from allergy to seafood. Patient was diagnosed with bilateral posterior (PSCC) and anterior subcapsular cataract (ASCC) on the right eye which was more dense than the left eye anterior subcapsular cataract (ASCC). Best-corrected vision were 6/30 and 6/10 for the right and left eye respectively. Phacoemulsification was performed on the patient’s both eyes to remove the cataract. After careful consideration and understanding the patient’s need and constraint, a monofocal VSY Acriva UD613 was chosen for the right eye and Medicontur Bi-flex Elon (Monofocal EDoF) was chosen for the left eye. Lenses were calculated based on axial length measurement obtained from A-Scan inserted into Galilei G6 for the right eye and  from Galilei G6 for the left eye. Patients achieved uncorrected visual acuity of 6/6 and 6/7.5+2 for right and left eye respectively, with binocular visual acuity of 6/6 at 1 month follow up. In addition, with these lenses, the patient was able to achieve N5 for the uncorrected near vision measured at 40cm. Patient was extremely happy with the result which has helped to enhance his quality of daily living (QoDL).

Good combination of lenses chosen for a young adult patient is proven to be cost effective and able to give good outcomes to maximize a patient's active lifestyle as a young adult by allowing him to be free from glasses for daily tasks.