Causes of Poor Visual Outcome After Bilateral Congenital/ Developmental Cataract Surgery in a Teaching Hospital, Lahore (Pakistan)

Abstract

Objective: To determine the causes of poor visual outcome after bilateral congenital/
developmental cataract surgery, like posterior capsular opacification, strabismus, glaucoma,
retinal detachment and endophthalmitis in a teaching hospital, Lahore Pakistan.
Methods: This prospective study was conducted in Eye unit 1, Services Hospital, SIMS, Lahore
from January,2010 to January, 2016.
During this periodwe evaluated 80 eyes in 40 children aged 6 years to 12 years with bilateral
congenital cataract with no other associated posterior segment pathology. Male children were
26 and female were 14 in number. Follow up period was for 6 years.
A comprehensive detailed history, demographic data, surgical techniques and causes of poor
visual outcome was noted like posterior capsular opacification, glaucoma, strabismus, retinal
detachment and endophthalmitis.
Results: The incidence of posterior capsular opacification was observed in 45%,glaucoma in
2.5%,strabismus in 12.5%. Retinal detachment and endophthalmitis was not observed in any
child after bilateral congenital cataract surgery.
Conclusion: The present study revealed that the early detection and treatment including
refractive rehabilitation and regular and close follow-up are essential for good visual outcome.
Better visual outcome can further be improved by parent's guidance and motivation
postoperatively