الفهرس | Only 14 pages are availabe for public view |
Abstract It is well known that the majority of the eye’s axial growth occurs during the first 2 years of life. The term emmetropization is frequently used to refer to the reduction of refractive errors during eye growth. This process depends greatly on the visual environment and on proper visual stimulation. Congenital cataract is an important treatable cause of visual handicap in childhood throughout the world. The management of this disorder has long challenged clinicians, but the past few decades have seen the most significant changes in approaches to management. In our study, we attempted to assess factors affecting visual acuity after unilateral cataract extraction in children specifically timing of surgery, axial length difference between both eyes and compliance with amblyopia therapy. Our study included 30 patients that underwent unilateral cataract extraction with primary IOL implantation between the ages of 7 months to 18 years old. Eleven patients 36.5% had good visual outcome, 91.9% of them were younger than 2 years old at the time of surgery, mean IALD in them was 0.26 mm only and all of them were compliant to amblyopia therapy. There appears to be a trend that age at surgery and pre-operative IALD helps us to predict post-operative visual acuity in pediatric patients with unilateral congenital cataract. |