Posters

A clinical study of congenital cataract

Poster Details

First Author: A. Pandey INDIA

Co Author(s):                        

Abstract Details

Purpose:

To study the causes of congenital cataract, management and the visual outcome.

Setting:

Retrospective study conducted in tertiary eye care centre, Narayan Netralaya, India

Methods:

Twenty children with age ranging from 1 month to 11 years were included in the study. A detailed history, birth history, examination – both routine and ocular with any ocular abnormality has been done. Examination of the following has been done- -Recording of visual acuity and fixation pattern in each eye -Refraction -Cover-uncover test / Hirschbergs test -Nystagmus -Slit lamp examination. -B-scan in a case of dense cataract A thorough and comprehensive post operative examination was done for each patients starting from 1st post operative day till the date of discharge from the hospital which was usually the 4th and 5th.

Results:

20 children had congenital cataract in both eyes. Among them 9 were male and 11 were female. Consanguinity was present in 16 children and parents of 4 children were not related. Surgery was performed in all the children . The pre operative visual acuity ranged from perception of light to 6/24. After surgery 60%(23eyes) had 6/60 to 6/18 vision. The rest of the eyes had perception of light to 5/60 vision.

Conclusions:

Study revealed that consanguinity of various grades was the aetiological factor and that their visual acuity before surgical intervention was very poor. After surgery the visual acuity improved in the range of 6/60 to 6/18 in 60% of the children. Study was taken up in view of bringing out the importance of early surgical intervention in children with congenital cataract and give them a better future. Timely recognition and intervention can eliminate blind years due to childhood cataract as the condition is treatable.

Financial Disclosure:

NONE