Global Pediatric Ophthalmology Congress

Biography

Biography: Farzana Afzal

Abstract

Purpose: This is a comparative study that illustrates the management of childhood cataract and compares the post-operative complication and visual outcome between aphakic and pseudophakic patient group. Materials & Method: It consists of primary and secondary data which was experimented on 250 eyes with cataract of 160 children in Bangladesh within the period of January 2012 to January 2014. In patients up to 8 years, irrigation and aspiration, including primary posterior capsular rhexis with anterior vitrectomy were done. However, after 8 years, I/A were done without PPC and AV. Consequently, all were evaluated and followed up for 1 year. Result: The most common postoperative complication is posterior capsular opacity which was observed in 22 (49%) pseudophakic eye below 1 year and 30 (25%) pseudophakic eye after 1 year of age. The final visual acuity of 82% bilateral and 53% unilateral pseudophakic patient reached 6/60 or better whereas only 50% of bilateral and 32% unilateral aphakic patient’s visual acuity reached to the same level with spectacle or contact lens correction. Conclusion: Primary intraocular lens implantation after childhood cataract surgery definitely results in better visual acuity compared to aphakia. Nevertheless, careful planning and improved technique must be taken to implant IOL especially in younger children because younger eyes are more prone to have serious postoperative complication requiring reoperation. Furthermore, proper postoperative care and regular follow-up are also significant part of childhood cataract management. This paper would unlock further frontiers for prospective researchers in this area and contribute to eradicate the curse of childhood blindness from all over the world.