title: Factors affecting visual outcome after surgery for bilateral congenital cataracts.
abstract: The medical records of 33 patients with dense bilateral congenital cataracts were analyzed for factors affecting visual outcome. The average postoperative follow-up was 6.3 years. Of the 23 patients tested with optotypes (verbal children), 14 had visual acuities of 20/80 or better. Eight patients had binocular vision. Preoperative nystagmus, age at surgery, microphthalmos, and postoperative strabismus were not prognostically significant in visual outcome. Postoperative nystagmus was common and was not indicative of a poor visual outcome. Ocular anomalies, systemic anomalies, and postoperative complications were associated with a lower percentage of good postoperative visual acuities.
authors.affiliation: Department of Ophthalmology, Medical College of Georgia, Augusta 30912.
authors.forename: G M
authors.initials: GM
authors.lastname: Bradford
authors.forename: R V
authors.initials: RV
authors.lastname: Keech
authors.forename: W E
authors.initials: WE
authors.lastname: Scott
mesh_terms: D002386:Cataract / Q000151:congenital*; D002387:Cataract Extraction; D005260:Female; D005403:Fixation, Ocular / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology*; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology*