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Outcome of paediatric cataract surgery in Northwest Ethiopia: a retrospective case series

Mulusew Asferaw1, Sisay Yoseph Mekonen2, Geoffrey Woodruff3

  • 1Department of Ophthalmology, University of Gondar, Gondar, Ethiopia muasf@yahoo.com.

The British Journal of Ophthalmology
|April 20, 2018
PubMed

Insights

Paediatric cataract surgery improved visual acuity in Ethiopian children. Better outcomes were seen in bilateral cases, with early detection and proper follow-up being key for optimal results.

Area of Science:

  • Ophthalmology
  • Paediatric Eye Care
  • Surgical Outcomes

Background:

  • Cataract surgery in children presents unique challenges.
  • Visual impairment from paediatric cataracts significantly impacts development.
  • Ethiopia faces a high burden of childhood visual impairment.

Purpose of the Study:

  • To evaluate visual acuity outcomes after paediatric cataract surgery.
  • To identify factors influencing surgical outcomes in children.
  • To assess results at a tertiary eye care facility in Northwest Ethiopia.

Main Methods:

  • Retrospective review of medical records for children under 16.
  • Data collected: preoperative, surgical, and postoperative details.
  • Study period: September 2010 to August 2014.

Main Results:

  • 176 eyes of 142 children were analyzed.
  • Good visual acuity (≥6/18) achieved in 62% of bilateral cases.
  • Worse outcomes linked to preoperative nystagmus/strabismus (bilateral) and trauma complications (unilateral traumatic).

Conclusions:

  • Paediatric cataract surgery significantly improves visual acuity.
  • Bilateral cases generally show better outcomes.
  • Early detection, skilled surgery, and robust follow-up are crucial for success.
Abstract

Keywords:
Ethiopiacongenital cataractpaediatric cataractvisual outcome

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