Amtul Mussawar Sami, Muhammad Numan Sarfraz, Abdul Baqi.
Causes Of Poor Visual Outcome After Bilateral Congenital/Developmental Cataract Surgery In A Teaching Hospital, Lahore (Pakistan).
Esculapio J Services Inst Med Sci Jan ;13(2):89-92.

Objective: To determine the causes of poor visual outcome after bilateral congenital/ developmental cataract surgery, like posterior capsular opacification, strabismus, glaucoma, retinal detachment and endophthalmitis in a teaching hospital, Lahore Pakistan. Methods: This prospective study was conducted in Eye unit 1, Services Hospital, SIMS, Lahore from January,2010 to January, 2016. During this periodwe evaluated 80 eyes in 40 children aged 6 years to 12 years with bilateral congenital cataract with no other associated posterior segment pathology. Male children were 26 and female were 14 in number. Follow up period was for 6 years. A comprehensive detailed history, demographic data, surgical techniques and causes of poor visual outcome was noted like posterior capsular opacification, glaucoma, strabismus, retinal detachment and endophthalmitis. Results: The incidence of posterior capsular opacification was observed in 45%,glaucoma in 2.5%,strabismus in 12.5%. Retinal detachment and endophthalmitis was not observed in any child after bilateral congenital cataract surgery. Conclusion: The present study revealed that the early detection and treatment including refractive rehabilitation and regular and close follow-up are essential for good visual outcome. Better visual outcome can further be improved by parent's guidance and motivation postoperatively.

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