Post-Operative Refractive Changes After Cataract Surgery in Children Less Than 4 Years of Age

Dr. Md. Nasimul Gani Chowdhury, Jannatun Noor, Urmi Atika Islam, Dr. Farzana Akter Chowdhury and Dr. Kazi Tahmina Akhter
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Dr. Md. Nasimul Gani Chowdhury: Chief Consultant, Pediatric Department, Chittagong Eye Infirmary & Training Complex (CEITC), Chattogram
Jannatun Noor: Lecturer (Optometry), Institute of Community Ophthalmology (ICO), Chittagong Eye Infirmary & Training Complex Campus, Chattogram
Urmi Atika Islam: Teaching Assistant, Institute of Community Ophthalmology (ICO), Chittagong Eye Infirmary & Training Complex Campus, Chattogram
Dr. Farzana Akter Chowdhury: Consultant, Pediatric Department, Chittagong Eye Infirmary & Training Complex (CEITC), Chattogram
Dr. Kazi Tahmina Akhter: Consultant, Cataract Department, Chittagong Eye Infirmary & Training Complex (CEITC), Chattogram

International Journal of Research and Scientific Innovation, 2024, vol. 11, issue 8, 726-731

Abstract: Aim: To observe the changes in refraction after Cataract surgery in children less than 4 years of age using Dahans formula. Methods: The retrospective evaluation of the records of children with congenital and developmental cataracts who underwent cataract operations with intraocular lens implantation was conducted. The patients’ ages ranged from 6 months to 4 years. All the sutures of cornea were removed after 1 month of surgery. IOL power was calculated using Dahan’s formula based on axial length. Refraction was performed after 1, 3, 6, and 12 months. Results: About 40 eyes of 20 children with bilateral congenital & developmental cataract (11 males and 9 females) were included. The age range was 6 months to 4 years & mean was 28.8±1.38 months. Significant myopic shift was observed in all the children and maximum myopic shift was observed in children below 2 (0-24 months) years of age. Conclusion: Significant myopic shift has been observed in children. So, under corrected IOL implantation is safe to achieve target refraction.

Date: 2024
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