title: Long term outcomes of bilateral congenital and developmental cataracts operated in Maharashtra, India. Miraj pediatric cataract study III.
abstract: OBJECTIVE
  To study long term outcome of bilateral congenital and developmental cataract surgery.
  
  
  METHODS
  258 pediatric cataract operated eyes of 129 children.
  
  
  METHODS
  Children who underwent pediatric cataract surgery in 2004-8 were traced and examined prospectively in 2010-11. Demographic and clinical factors were noted from retrospective chart readings. All children underwent visual acuity estimation and comprehensive ocular examination in a standardized manner. L. V. Prasad Child Vision Function scores (LVP-CVF) were noted for before and after surgery.
  
  
  METHODS
  Statistical analysis was done with SPSS version 16 including multi-variate analysis.
  
  
  RESULTS
  Children aged 9.1 years (std dev 4.6, range 7 weeks-15 years) at the time of surgery. 74/129 (57.4%) were boys. The average duration of follow-up was 4.4 years (stddev 1.6, range 3-8 years). 177 (68.6%) eyes had vision <3/60 before surgery, while 109 (42.2%) had best corrected visual acuity (BCVA) >6/18 and 157 (60.9%) had BCVA >6/60 3-8 years after surgery. 48 (37.2%) had binocular stereoacuity <480 sec of arc by TNO test. Visual outcome depended on type of cataract (P = 0.004), type of cataract surgery (P < 0.001), type of intra-ocular lens (P = 0.05), age at surgery (P = 0.004), absence of post-operative uveitis (P = 0.01) and pre-operative vision (P < 0.001), but did not depend on delay (0.612) between diagnosis and surgery. There was a statistically significant improvement for all the 20 questions of the LVP-CVF scale (P < 0.001).
  
  
  CONCLUSIONS
  Pediatric cataract surgery improved the children's visual acuity, stereo acuity and vision function. Developmental cataract, use of phacoemulsification, older children and those with better pre-operative vision had betterlong-termoutcomes.
authors.affiliation: Lions NAB Eye Hospital, Miraj, District Sangli; Dr. Gogate's Eye Clinic; D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India.
authors.forename: Parikshit M
authors.initials: PM
authors.lastname: Gogate
authors.forename: Mohini
authors.initials: M
authors.lastname: Sahasrabudhe
authors.forename: Mitali
authors.initials: M
authors.lastname: Shah
authors.forename: Shailbala
authors.initials: S
authors.lastname: Patil
authors.forename: Anil N
authors.initials: AN
authors.lastname: Kulkarni
authors.forename: Rupal
authors.initials: R
authors.lastname: Trivedi
authors.forename: Divya
authors.initials: D
authors.lastname: Bhasa
authors.forename: Rahin
authors.initials: R
authors.lastname: Tamboli
authors.forename: Rekha
authors.initials: R
authors.lastname: Mane
mesh_terms: D000293:Adolescent; D002386:Cataract / Q000209:etiology* / Q000503:physiopathology; D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity