Predicting Factors of Post Operative Visual Outcome of Pediatric Cataract

PURPOSE:The aim of this study is to identify factors which predict post-operative visual outcome of paediatric cataract (birth to 18 years) Method:This prospective study was done on 44 eyes of 40 patients with congenital cataract. Lens aspiration with posterior capsulotomy with anterior vitrectomy was done depend on age of patient .Corneal diameter and thickness, intraocular pressure, interocular axial length difference, morphology of cataract, intraocular lens implantation were noted. Results: After 1year of follow up we found that patients who presented after 7 year of age having unilateral congenital cataract with thickened posterior capsule, increased IALD greater than0.5mm and poor vision were having poor postoperative visual outcome. Posterior capsulorrhexis with anterior vitrectomy in patient less than5 year and surgical preference of aphakia with secondary IOL implantation in less than2 year were having favourable visual outcome. Conclusion: Cataract surgery in early age significantly improves vision in pediatric patients.