Clinical analysis on efficiency of pediatric cataract surgery in 71 eyes

Objective To investigate the surgical effects of pediatric cataract with intraocular lens implantation and the measures to prevent intra and post operative complications. Methods Seventy one eyes (19 congenital cataract, 51 traumatic cataract, and 1 complicated cataract) in 67 children aging from 5 months to 12 years were treated with posterior chamber intraocular lens implantation. The children were followed up for 1 to 12 months. Results Fifty eight (81.7%)eyes were relieved from blindness, 44(62%)eyes got visual acuity of 6/60 18/60, and 15(21.1%) eyes had 24/60 or better. Postoperative complications were seen as corneal edema, fibrinous uveitis, pupillary capture, secondary glaucoma,posterior capsular opacification, amblyopia and strabismus. Conclusion Pediatric congenital and traumatic cataract extraction with posterior chamber intraocular lens implantation results in a good visual improvement, and amblyopia treatment is essential in vision acuity recovery.