title: Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications.
abstract: The aim of this study was to report feasibility, the visual outcomes and complications of pediatric cataract surgery with primary intraocular lens implantation in children aged 5 to15 years in local anesthesia. This retrospective interventional case series included 62 eyes from 50 children who underwent pediatrc cataract surgery with primary intraocular lens implantation at the Mana eye Clinic Nkongsamba between 2006 and 2015 Main outcome measures were: best-corrected post operative visual acuity, and intraoperative and postoperative complications. Mean age at surgery was 10.18 ± 3.21 years. Mean follow up length was 15.75 ± 3.36 weeks. Etiology included: 10 congenital cataracs (16.12%). 35 developmental cataracts (56.45%) and 17 traumatic cataracts (27.41%). The mean preoperative BCVA was logMAR 1.19 ± 0.33. (range 0.6-2.3). After cycloplegia refraction 2 weeks after surgery, the mean postoperative BCVA was log MAR 0.58 ± 0.88 ( range 0.5-1.8). The mean implanted IOL power was 22.01 ±3.16 D. IOL was succefuly implanted in 54 eyes (87.07%). Eight eyes (9.67%) were left aphakic. Increase in BCVA of 4 logMAR lines and above was recorded in 27 patients (43.55%). Intraoperative complications included: 4 posterior capsule holes with vitrous lost, 3 lenses subluxation and 1 case of iris dialyse. Late postoperative complications included: posterior capsular opacity which occurred in 16 patients, 3 posterior synechia, 2 retinal detachment. Peribulbar anaesthesia can be considered as a viable option in selected patients presenting developmental cataract undergoing cataract surgery in developing countries. Effort should be made to improve the early identification of congenital cataract and its early surgical intervention and prompt optical rehabilitation to prevent amblyopia.
authors: University Teaching Hospital Yaoundé (UTHY), Cameroon; University of Yaoundé I, Faculty of Medicine and Biomedical Sciences, Cameroon.
authors: Kagmeni
authors: K
authors: Giles
authors: Mountains University Banganté, Cameroon.
authors: Domngang
authors: D
authors: Christelle
authors: University of Yaoundé I, Faculty of Medicine and Biomedical Sciences, Cameroon.
authors: Bilong
authors: B
authors: Yannick
authors: Department of Ophthalmology and Department of Clinical and Experimental Medicine, Linkoping University, Sweden.
authors: Otto Herrmann
authors: OH
authors: Fricke
authors: Eye Hospital of Leipzig University, Germany.
authors: Peter
authors: P
authors: Wiedemann
mesh_terms: D000293:Adolescent; D000772:Anesthesia, Local / Q000379:methods; D002386:Cataract / Q000473:pathology*; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity
keywords: Pediatric cataract; intraocular lenses; local anesthesia; postoperative complications