Cataract How Important Is Age of Intervention?

Purpose: To study effect of age of intervention on visual outcome following treatment of pediatric patients with cataract. Setting: Tertiary eye care centre in Dahod at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. Participants: 705 eyes of 1047 patients Methods: This is a prospective cohort study. We studied a consecutive series of pediatric patients with congenital, developing, or COMPLICATED cataracts who underwent surgery between January, 1999 and April, 2012 at our center. Patient demographics, cataract type, presenting symptoms, surgical intervention, postoperative visual acuity, and follow-up refractive changes were recorded. Primary Outcome measures: vision. Results: In total, 1305 eyes of 1047 children were included: unilateral cataracts were present in 786 (60.2%) eyes. There were 600 (46.7%) traumatic and 705 (53.3%) non-traumatic cases. Ages at surgery ranged from 1 to 215 months. Eyes were grouped by the age of surgical intervention performed: Group 1,5 years, including 528 (74.9%) eyes either by anterior or pars plana route ± IOL placement. The mean follow-up time was 117 days. Ultimately, 128 (18.2%) Group 1 and 213 (30.2%) Group 2 patients achieved a visual acuity better than 20/80 (P < 0.001). Age at intervention was significantly related (all P < 0.001) to visual outcome. Conclusions: Age of intervention affects visual outcome significantly (p<0.001).