TITLE:
Strabismus in Cases of Cataract in Pediatric Age Group*
AUTHORS:
Shreya M. Shah, Mehul A. Shah, Pramod R. Upadhyay, Geetopam B. Bardoloi, Drashti Netralaya
KEYWORDS:
Pediatric Cataract; Visual Outcome; Traumatic Cataract; Developmental Cataract; Congenital Cataract
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.3 No.1,
February
27,
2013
ABSTRACT:
Purpose: To investigate the epidemiology of
strabismus in cases of pediatric cataracts. To assess visual outcome following orthoptic treatment for
amblyopia in cases of cataracts in the pediatric age group. Methods: This was a retrospective cohort study. We investigated a
consecutive series of pediatric patients with congenital, developing, or
traumatic cataracts who underwent surgery between January 1999 and April 2012
at our center. Patient
demographics, cataract type, presenting symptoms, surgical intervention,
postoperative visual acuity, and follow-up refractive changes were recorded. Results: In total,
1331 eyes of 1043 children were included:
unilateral cataracts were present in 785 (59%) eyes. There were 605 (45.5%) traumatic and 726 (54.5%) non-traumatic cases.
Ages at surgery ranged from 1 to 215 months. All eyes were examined for ocular alignment; 66 (5%) were found to manifest
strabismus. Deviation was significantly associated with age at intervention (p p p 0.001). We found significant
differences in visual outcome following amblyopia therapy (p 0.001). Conclusions: Surgical treatment with
intraocular lens implantation in children with congenital, developmental, or
traumatic cataracts is effective for visual rehabilitation. Orthoptic treatment made a significant
difference in visual outcome (p