Attiya Rizvi, Muhammad Faaz Malik, Sadia Bukhari, Israr Ahmed Bhutto, Faiza Rameez, Saima Majid.
Visual Outcomes in Children Undergoing Secondary Intraocular Lens Implant after Primary Cataract Surgery for Congenital Cataracts.
Pak J Med Res Jan ;62(2):65-9.

Background: The most frequent surgical approach for cataracts is a micro-incision aspiration with intraocular lens (IOL) implantation. Multiple factors are involved in the long-standing effect of Pediatric cataract surgery. Objective: The purpose of this study was to assess the visual outcomes following secondary implantation of IOL in children who have undergone primary cataract surgery for congenital cataracts. Study type, settings & duration: This was a cross-sectional study performed at the Pediatric section of Al-Ibrahim Eye Hospital, Karachi from January 2018 to December 2019.   Methodology: Fifty-seven files were retrieved for data collection. All children who had congenital cataracts and were aged 1-3 years and had undergone primary cataract surgery were included. Children with congenital cataract had undergone a primary surgery at six months to one year after which a secondary IOL implant had been done on them aged 15-36 months. Results: Visual acuity improved to 6/12 in 40.4% patients, 6/9.5 in 33.3% patients, and 6/15 in 10.5% patients. The final visual outcome through log MAR chart revealed that most of the children improved visual acuity. 19 (33.3%) had a 0.2 score that is equivalent to 6/9.5 on the Snellen chart. Likewise, 23 (40.4%) had 0.3 score that is equivalent to 6/12 on the Snellen chart, 6 (10.5%) had 0.4 on the log MAR chart. Conclusion: The bilateral congenital cataract was more prevalent. Overall an improvement in the visual outcome was seen after secondary Intraocular lens implantation in patients with bilateral congenital cataracts.

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