Demographic Profile, Epidemiology, Management and Visual Outcomes of Pediatric Cataract in A Tertiary Eye Care Center of Bangladesh

Purpose: The purpose of this study was to evaluate the demographic profile, epidemiology, management, etiology, complications and long-term visual outcome of pediatric cataract surgery at tertiary care center of Bangladesh.Method: It was prospective study conducted in pediatric Ophthalmology and strabismus department of Ispahani Islamia Eye Institute & Hospital from January - December ‘’2023. The study included 324 cataractous eyes of 204 patients up to 16 years of age who presented to the pediatric outpatient Department. Exclusion criteria were congenital glaucoma, anterior segment dysgenesis, optic nerve pathology with other syndromes disorders. Detailed ophthalmic examinations including visual acuity, fundus examination, retinoscopy, biometry were performed. Irrigation and aspiration of lens matter with CCC, AVT, +/- PPC and +/- IOL implantation was done. Follow up was done at coming morning, first& fourth week followed by three and six months.Result: Mean age of presentation was 4.2 ± 2.2 years. Male was 55% whereas 45% females. Cataract was in 324 eyes out of 204 children. Bilateral cataract in 58% children while 42% had unilateral involvement. Most common etiology were maternal TORCH infection (39.2%) followed by idiopathic (14.7%), Prematurity (19.6%), birth trauma (11.8%). Post operative complications were posterior capsular opacification (34.3 %), Iridocyclitis (19.6%), secondary glaucoma (5.9%), striae keratopathy (27.5%). Visual acuity <6/18 Log MAR 0.5 was seen in 62.7% eyes, 6/18 -6/60 Log MAR 0.5-1 in 29.4% eyes, <6/60LogMAR 1 in 7.8% eyes.Conclusion: It is crucial to keep special concern to timely screening and manage such case for better visual future.