The Outcome of Pediatric Cataract Surgery in Sohag University Hospital
Mohammed, H., Abdelatif, I., Ismail, A., Ammar, H. (2017). The Outcome of Pediatric Cataract Surgery in Sohag University Hospital. EKB Journal Management System, 21(3), 453-460. doi: 10.21608/smj.2017.41409
Hany Fathy Mohammed; Ismael Moussa Abdelatif; Ali Mahmoud Ismail; Hatem Ammar. "The Outcome of Pediatric Cataract Surgery in Sohag University Hospital". EKB Journal Management System, 21, 3, 2017, 453-460. doi: 10.21608/smj.2017.41409
Mohammed, H., Abdelatif, I., Ismail, A., Ammar, H. (2017). 'The Outcome of Pediatric Cataract Surgery in Sohag University Hospital', EKB Journal Management System, 21(3), pp. 453-460. doi: 10.21608/smj.2017.41409
Mohammed, H., Abdelatif, I., Ismail, A., Ammar, H. The Outcome of Pediatric Cataract Surgery in Sohag University Hospital. EKB Journal Management System, 2017; 21(3): 453-460. doi: 10.21608/smj.2017.41409

The Outcome of Pediatric Cataract Surgery in Sohag University Hospital

Sohag Medical Journal
Article 54, Volume 21, Issue 3, October 2017, Page 453-460  XML PDF (67.03 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.41409
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Authors
Hany Fathy Mohammed1; Ismael Moussa Abdelatif2; Ali Mahmoud Ismail3; Hatem Ammar4
1Department of Opthalmology, Sohag Faculty of Medicine, Sohag University
2Department of Ophthalmology, Faculty of Medicine, Sohag University.
3Department of Ophthalmology, Faculty of Medicine, Sohag University.
4Department of Ophthalmology, Faculty of Medicine, Sohag University.
Abstract
Introduction: Worldwide, an estimated 1.4 million children are blind, of whom approximately 190,000 (14%) are blind owing to bilateral un-operated cataract, complications of surgery, amblyopia due to delayed surgery, or the presence of other associated anomalies. Pediatric cataract blindness presents an enormous problem to developing countries in terms of human morbidity, economic loss, and social burden. Managing cataracts in children remains a challenge, even in the industrialized world. Treatment is often difficult and tedious and requires a dedicated team effort.
Aim of the work: To evaluate the experience with the surgical management of various types of pediatric cataract, managed at the Ophthalmology department, Sohag University Hospital during the period of the study
Patients and Methods: A prospective, randomized study, patients were divided into 3 groups based on the surgical technique they had undergone. Group A "25 patients" : patients who have undergone Lensectomy anterior vitrectomy (LAV). GroupB"24patients": patients who have undergone Extracapsular cataract extraction, primary posterior capsulorhexis or capsulotomy, anterior vitrectomy, and IOL implantation (ECCE/PPC/AV/IOL). Group C"26patients": patients who have undergone Extracapsular Cataract Extraction and IOL Implantation (ECCE/IOL)
Results: Uncorrected visual acuity was better than 6/60 in 27 eyes (27.8%); 13 (13.4%) in group B and 14 (14.4%) in group C. Acuity of 1/60 to 6/60 was measured in 5 eyes (5.1%); 3 (3.1%) in group B and 2 (2%) in group C. The remaining 5 eyes had visual acuity less than 1/60 and this was attributed to amblyopia.
Conclusion: IOL implantation at primary cataract surgery helps to prevent development of secondry glaucoma, but increases the number of interventions for VAO in infants.
Keywords
Cataract; Sohag university
Supplementary Files
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