Long Term Emmetropization after Cataract Surgeries in Children

Dr. Nasimul Gani Chy, Jannatun Noor, Dr. Afrina Khanam and Dr.Farzana Akter Chowdhury
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Dr. Nasimul Gani Chy: Chief Consultant, Pediatric Ophthalmology Department, Chittagong Eye Infirmary & Training Complex (CEITC), Chittagong
Jannatun Noor: Lecturer (Optometry), Institute of Community Ophthalmology (ICO), Chittagong Eye Infirmary & Training Complex Campus, Chittagong
Dr. Afrina Khanam: MS Resident, Institute of Community Ophthalmology (ICO), Chittagong Eye Infirmary & Training Complex Campus, Chittagong.
Dr.Farzana Akter Chowdhury: Consultant, Pediatric Department, Chittagong Eye Infirmary & Training Complex (CEITC), Chattogram

International Journal of Research and Innovation in Applied Science, 2025, vol. 10, issue 1, 598-604

Abstract: Objectives: To evaluate the long-term refractive outcome of bilateral pediatric cataract surgeries with intraocular lens implantation in Children. Methods: The medical records of children aged under 10 years, who underwent cataract surgeries with C were reviewed. All the children underwent primary posterior capsulotomy with anterior vitrectomy and primary IOL implantation. Only those with a follow‑up of at least 5 years were evaluated. Results: In total, 24 children (5 females and 19 males, 18 patients had developmental cataracts and 6 had congenital cataracts, 48 eyes) met the inclusion criteria for this study. Mean age at the time of surgery was 5.36±2.35 years (1 month–6 years). Mean follow-up time was 5.54±1.58 years. The average refraction followed a logarithmic decline with age. Typically, children who had a minor hyperopic refractive errors immediately following surgery developed substantial myopia as they grew older. Patients who were 0 to 4 years old at the time of surgery had a significantly larger myopic shift rate than patients who were 6 to 8 years and 9 to 11 years Conclusion: This study demonstrate a trend toward declining postoperative hyperopia in pediatric patients undergoing intraocular lens implantation. Myopic shift varies significantly amongst patients. It is necessary to adjust the IOL calculation formula to specify more under correction, with the aim of achieving more optimal refractive outcomes in adulthood.

Date: 2025
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