Visual Outcome Of Pediatric Cataract Surgery In A Tertiary Eye Hospital In Northern India.
Published 2024 - 42nd Congress of the ESCRS
Reference: PO490 | Type: Free paper | DOI: 10.82333/ge7y-pk81
Authors: Reena Gupta* 1 , chekitaan singh 2 , rohan madan 3
1Ophthalmology ,PGIMS,rohtak,India, 2Ophthalmology ,ishwar eye centre,rohtak,India, 3Ophthalmology ,LVPEI,HYDERABAD,India
Purpose
To evaluate myopic shift and post-operative visual acuity after primary IOL implantation in children.
Setting
Ambispective study in a tertiary eye hospital
Methods
The records of 40 children, 4 months-14 years of age who underwent primary IOL implantation from 2015 - 2019 were reviewed. Patients with congenital cataract, corneal diameters >10mm, axial-length > 17mm ,2 years follow up included and traumatic cataract, PHPV ,secondary IOL excluded. The variables studied -age at presentation, etiology, laterality, associated strabismus or nystagmus, axial-length, IOL power implanted, undercorrection, actual refraction & complications. All were operated by a one surgeon. IOL power was calculated using SRK-T and undercorrected by a modified nomogram based on Dahan recommendations.Myopic shift was calculated after 2 years of surgery using post-operative(6weeks) refractionas actual refraction .
Results
The mean age at surgery was 4.90±3.97 SD years and 60 % were males. The most common etiology was congenital (67.50 %). Strabismus was associated with 7.2 % and nystagmus with 3.6 % paediatric cataracts. PCO was reported in 3.6% of eyes. At 2 years of follow up, 70.7% of patients had good visual outcomes.
Conclusions
Myopic-shift till date remains the most unpredictable entity when it comes to pediatric cataract surgery