TY - JOUR AU - Thapa, Hari Bahadur AU - Rai, Salma KC AU - Bhari, Arjun Malla AU - Bassett, Ken PY - 2016/01/11 Y2 - 2024/03/28 TI - VISUAL OUTCOME AND COMPLICATIONS OF PEDIATRIC CATARACT SURGERY AT LUMBINI EYE INSTITUTE, NEPAL JF - Journal of Universal College of Medical Sciences JA - J Univ Coll Med Sci VL - 3 IS - 2 SE - Original Articles DO - 10.3126/jucms.v3i2.14289 UR - https://www.nepjol.info/index.php/JUCMS/article/view/14289 SP - 35-38 AB - <p><strong>INTRODUCTION</strong>: Pediatric eye care, including cataract surgery, has become much more common in Nepal in recent<strong> </strong>years in tertiary facilities such as the Lumbini Eye Institute (LEI). This study provides the first report of visual outcome and complications after cataract surgery at that Institute.</p><p> <strong>MATERIAL AND METHODS</strong>: This is a prospective observational study of all cataract surgical patients &lt;16 years of<strong> </strong>age between March 1, 2011, and February 28, 2012. Visual outcome was assessed by two optometrists with pediatric eye care training. Clinical data were gathered in a specifically designed pediatric eye program database and demographic data were taken from hospital administrative records.</p><p> <strong>RESULTS</strong>: In 2011-12, 334 children (248 boys [74%]) underwent cataract surgery, including 89 Nepali (27%) and 245<strong> </strong>Indian (73%) children. In total, 320 (96%), 270 (81%), and 190 (57%) attended their first, second and third follow up visits respectively. Pre-operative visual acuity was &lt;6/60 (91%), 6/60 to &lt;6/18 (7%) and &gt;6/18 (2%). Post-operatively, visual acuity was &lt;6/60(27.5%), 6/60 to &lt;6/18 (36.5%) and 6/18 or better (36%). The mean best corrected visual acuity was 6/38 first follow up, 6/34 second follow up, and 6/30 third follow up. Intraoperative complications were 1.6% pupillary capture and post-operative complications were 35.3% posterior capsular opacification (PCO).</p><p> <strong>CONCLUSION</strong>: For 63% of children, visual acuity significantly improved with cataract surgery beyond their<strong> </strong>presenting vision of &lt;6/60, with over 38% of children achieving visual acuity (&gt;6/18). Follow up beyond one month needs significant improvement to treat postoperative complications particularly posterior capsular opacification.</p><p><strong>Journal of Universal College of Medical Sciences</strong> (2015) Vol.03 No.02 Issue 10</p><p>Page: 35-38</p> ER -