Pediatric cataract surgery with hydrophilic acrylic intraocular lens implantation in Nepalese children

Figures & data

Figure 1 Pre- and postoperative vision compared.

Abbreviations: CSM, central, steady, and maintained fixation; VA, visual acuity.

Table 1 Demographics and clinical characteristics of children

Age at surgery	Children N (%)
<2 years	8 (6.7)
2–8 years	72 (60)
>8 years	40 (33.3)
Male	70 (58.3)
Female	50 (41.7)
Ocular anomalies	Eyes N (%)
Microcornea	5 (2.8)
PHPV	2 (1.1)
Pigmentary retinopathies	2 (1.1)
Optic atrophy	1 (0.5)
Nystagmus	32 (17.9)
Esotropia	3 (1.6)
Exotropia	18 (10.1)
DVD	1 (0.5)
Total	84 (47.19)

Abbreviations: PHPV, persistent hyperplastic primary vitreous; DVD, dissociated vertical deviation.

Table 2 Postoperative complications

Postoperative complications	No of eyes (%)
Inflammatory membrane	18 (10.1)
Post-capsular opacity	7 (3.9)
Wound leak	1 (0.5)
Decentered intraocular lens	2 (1.1)
Secondary glaucoma	2 (1.1)
Iris prolapse	1 (0.5)
Endophthalmitis	2 (1.1)
Total	33 (18.5)

Table 3 Second interventions

Second procedure	Eyes no (%)
Yag capsulotomy	2 (1.1)
Surgical membranectomy	5 (2.8)
Intraocular lens repositioning	2 (1.1)
Re-suturing	1 (0.5)
Intravitreal injection	1 (0.5)
Vitrectomy	1 (0.5)
Total	12 (6.4)

Table 4 Pre- and postoperative vision

VA range (logMAR)	Presenting VA n (%)	Final VA n (%)
6/6–6/18 (0.1–0.5)	1 (0.5)	81 (45.5)
<8/18–6/60 (0.6–1)	27 (15.1)	44 (24.7)
<6/60–3/60 (1.1–1.5)	39 (21.9)	8 (4.4)
<3/60–1/60 (1.5–1.8)	34 (19.1)	6 (3.3)
<1/60-PL (,1.9)	32 (17.9)	3 (1.6)
Preverbal children
CSM+	45 (25.2)	6 (3.3)
CSM−	1 (0.5)	30 (16.8)
Total

Abbreviations: CSM, central, steady, and maintained fixation; VA, visual acuity.

Table 5 Posterior capsule opacification in studies using hydrophobic lenses compared to our study

Study	Number of eyes	Posterior capsule opacification	Need for second intervention
Trivedi and Wilson^Citation4	42	7 (16.7%)	5 (11.9%)
Nihalani and Vasavada^Citation5	66	20 (30.3%)	6 (9.1%)
Vasavada et al^Citation19	103	41 (39.8%)	14 (13.6%)
Raina et al^Citation12	42	4 (16%)	4 (16%)
Rashid et al^Citation22	38	7 (18.32%)	None
Our study	178	7 (3.9%)	7 (3.9%)

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