Visual rehabilitation in pediatric cataract with primary intraocular lens implantation

• Main Authors: Pradeep Ramteke, Dhaivat Shah, Hardik Jain, Garima Vaishnav, Rahul Singh, Amit Neema, Rajesh Vasure
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Kerala Journal of Ophthalmology
• Subjects: anterior vitrectomy; pediatric cataract; phacoemulsification; posterior capsulorhexis; visual rehabilitation
• Online Access: http://www.kjophthal.com/article.asp?issn=0976-6677;year=2021;volume=33;issue=2;spage=151;epage=154;aulast=Ramteke

Aim: The aim of this study was to show visual rehabilitation in pediatric cataract with primary intraocular lens implantation. Materials and Methods: 106 eyes of 91 pediatric patients between 2 to 20 years of age who underwent cataract surgery with primary IOL implantation from June 2018 to January 2020 were included in the study. All the surgeries were performed by a single experienced pediatric ophthalmologist. Phacoemulsification, anterior vitrectomy, and primary posterior capsulorhexis with primary IOL implantation were done in all patients. Patients were reviewed 1 week, 1 month, and 6 months postoperatively. Results: Visual acuity improved from 1.7 logarithm of the minimum angle of resolution (logMAR) before the surgery to 0.74 logMAR at the last follow-up. Twelve eyes had postoperative complications which included posterior capsule opacification in 12 eyes, pupillary fibrin membranes in 17 eyes, and corneal edema in 2 eyes. Conclusion: The current study suggests that primary IOL implantation is safe when in an experienced hand for pediatric age group.