Visual results of cataract surgery in children at Hospital san Felipe January 2001-January 2017

Abstract

Introduction: The incidence of cataract in children is 1/ 6-10 000 births. The use of intraocular (IOL) lens is still controversial. Objective: Determine the most effective method of visual acuity (VA) correction in pediatric patients with cataract surgery in Hospital San Felipe from January 2001-January 2017. Material and methods: A quantitative, descriptive, transverse and retrospective observational study was carried out at the Ophthalmology Outpatient Clinic of the Hospital San Felipe, National Reference Hospital. The universe and the sample corresponded to 90 eyes of 71 pediatric patients with a diagnosis of cataracts who attended the outpatient clinic of ophthalmology of the Hospital San Felipe during the period January 2001 to January 2017. The study included all eyes of pediatric patients from 6 months to 14 years of age who had cataract surgery at Hospital San Felipe. All eyes of pediatric patients with a diagnosis of cataract that had another condition that compromised their VA (retinal detachment, macular scarring, optic atrophy, corneal leukoma) and / or had not been surgically treated by cataract were excluded. The previous visual acuity was finger countlight perception (FC-LP) in 71.11% of the cases, 47.78% of the cases had EEC + IOL CP. Within the transurgical complications posterior capsule rupture was most common 82.35% out of 18.89%, there was also 1 lens luxation to the vitreous chamber. Visual acuity after surgery of 20/20 -20/40 was acomplished with Intraocular Lens (IOL) 52.4% of the cases. Conclusions: The best corrected Visual Acuity was obtained with IOL