Abstract

Aim: To analyze the visual axis opacification rates after Pediatric cataract surgery in children aged 1-16 years in a tertiary eye care center. Methods:Retrospective record of children who underwent pediatric cataract surgery with IOL implantation with primary posterior capsulotomy and anterior vitrectomy was reviewed from January 2020 to January 2023. Age of onset, VAO status and duration, need for NdYag laser treatment was recorded. Results: 152 eyes of were analyzed. Mean age was 8 ± 6 years. 95% had single piece intraocular lens implantation and 5% had three piece intraocular lens implantation. Average follow-up time was 25.6 ± 10 months. VAO developed in 5 eyes (3.2 %) which required NdYag capsulotomy. The duration of post op visual axis opacification development was 20.6 ± 15 months (7-36 months).
Conclusion: The rate of visual axis opacification rates can reach 100% if posterior capsule is left intact. This study shows a rate of 3.2% who underwent Pediatric cataract surgery.