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Purpose: To compare the rate of complications and visual outcome after peadiatric cataract extraction with or without intraocular lens implantation.
Material and Methods: A total of 202 consecutive children (281 eyes) aged 10 years and younger with unilateral or bilateral congenital cataract, treated and followed up at our institution between March 1st, 2008 and July 30th, 2009, were included in this prospective study. The study was performed at Al-Ibrahim eye hospital, Karachi.
Results: Most frequent early complication seen in patients after cataract surgery was striate keratopathy, which was observed in 90 (32%) eyes, while the most common late complication was posterior capsular opacification in 95 (34%), which required either Yag laser capsulotomy or surgical capsulotomy. Among the early complications striate keratopathy was most commonly noted in patients of age older than 1 year having cataract surgery without IOL. Around 50 % patients of psuedophakic groups have visual acuity better than 6/60 while only 26 % of aphakic group patients achieved vision of better than 6/60 with spectacle correction (p<0.05).
Conclusion: Correction of aphakia after peadiatric cataract surgery with primary IOL implantation results in improved visual acuity compared to spectacle correction but a higher rate of complications requiring reoperation.
Mazhar-ul-Hasan, Umair A. Qidwai, Aziz-ur-Rehman, Nasir Bhatti, Rashid H. Alvi. (2011) Complication and Visual Outcome after Peadiatric Cataract Surgery with or Without Intra Ocular Lens Implantation, Pakistan Journal of Ophthalmology, Volume 27, Issue 1.
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