%0 Journal Article
%T Intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life
%A Jagat Ram
%A Jaspreet Singh
%A Jitender Jinagal
%A Manu Sharma
%A Parul Chawla Gupta
%A Savleen Kaur
%A Sonam Yangzes
%J European Journal of Ophthalmology
%@ 1724-6016
%D 2019
%R 10.1177/1120672118790193
%X To describe the outcome of phacoaspiration with intraocular lens implantation in children with unilateral congenital cataract in the first 4£¿years of life. A retrospective chart review of children with visually significant unilateral congenital cataract presenting in the first 4£¿years of life was done. Children with a minimum postsurgical follow-up of 1£¿year were included. Outcome measures were mean spherical equivalent, visual axis clarity, visual acuity and complications till the last follow-up. Ninety-three children met the inclusion criteria. The mean age of surgery was 13.23£¿¡À£¿11.89£¿months and the mean follow-up period was 24.37£¿¡À£¿17.35£¿months. Nearly 40% of children presented during their first year of life. No difference was noted between the subgroups in terms of age (p£¿=£¿0.310), sex (p£¿=£¿0.475) or laterality (p£¿=£¿0.349). Surgical membranectomy was performed in 22 eyes (23.6%) after an average period of 4.85£¿¡À£¿2.58£¿months after surgery. One eye underwent piggy back intraocular lens and four eyes underwent intraocular lens exchange after a mean duration of 50£¿months (range 40¨C60£¿months). The mean visual acuity was 0.79£¿¡À£¿0.11 (log MAR chart). A total of 60.7% of these children (n£¿=£¿31) achieved best corrected visual acuity or 20/80 or better. The results of our study suggest that primary intraocular lens implantation in children with unilateral congenital cataract gives good structural and functional results. Besides a meticulous surgery, visual outcome is affected by the time of presentation and postoperative compliance to amblyopia therapy
%K Unilateral cataract
%K paediatric cataract
%K intraocular lens implantation in children
%K cataract surgery complications
%K persistent hyperplastic primary vitreous
%U https://journals.sagepub.com/doi/full/10.1177/1120672118790193