Original research: Visual outcomes and complications in infantile cataract surgery: a real - world scenario

BMJ Open Ophthalmology

article

Goura Chattannavar¹  Akshay Badakere¹  Ashik Mohamed²  Ramesh Kekunnaya¹ 

[1] Strabimsus, Pediatric and Neuro-ophthalmology , Jasti V Ramanamma Children's Eye care, Child Sight Institute, LV Prasad Eye Institute;Ophthalmic Biophysics , LV Prasad Eye Institute

关键词: child health (paediatrics);    lens and zonules;   

DOI  :  10.1136/bmjophth-2021-000744

学科分类：工业工程学

来源: BMJ Publishing Group

【 摘 要 】

Objective To evaluate visual outcomes and complications of infantile cataract surgery through a 1-year follow-up period in a real world scenario.Methods and analysis Prospective observational study evaluating infants with cataract undergoing surgery.Results We analysed 173 eyes of 97 infants (76 bilateral); median age 18.7 weeks, (IQR: 11–33.9 weeks). Toxoplasmosis, rubella, cytomegalovirus and herpes infection was the most common aetiology in both unilateral 10 (47.6%) and bilateral 43 (55.1%) cases, followed by familial and syndromic cases. Fifty-four eyes (29.5%) received primary intraocular lens (IOL) implantation.Seventy-five infants (76%) were less than 6 months of age. At 1-year follow-up, mean log MAR best-corrected visual acuity was 1.00±0.08 and 1.21±0.03 in unilateral and bilateral cases respectively (p=0.012), which was not statistically significant. At 1-year follow-up, pseudophakic(1.09±0.05) eyes had a better mean log MAR visual acuity comparing aphakes(1.24±0.04) clinically but was not statistically significant after the application of Bonferroni correction (p=0.012). The mean myopic shift of −2.9 D±0.39 and −4.53 D±0.55 over 1 year was noted in aphakes and pseudophakes, respectively (p=0.016). Visual axis opacification and glaucoma were the most common complications noted in pseudophakes and aphakes, respectively.Conclusion Primary IOL implantation in selected cases of infantile cataract is a feasible option, particularly in cases when optimal aftercare and refractive rehabilitation of aphakia are not possible.

【 授权许可】

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