Objectives: To evaluate visual and functional outcome of bilateral pediatric cataract surgery with intraocular lens implantation in Kabgayi Eye Unit, Rwanda. Methods: Surgical, pre-, and postoperative data of bilateral pediatric cataract surgery cases performed between 1999 and 2007 were collected from the notes. During a prospective follow-up visit in 2008 full eye examination was done, including best corrected visual acuity (BCVA) assessment and refraction. Functional vision in daily life was assessed using a questionnaire. Results: The follow-up examination was attended by 108 children (56.5% girls, participation rate 87.8%). Mean age at the time of surgery was 6.6 years (SD 4.6, range 0-19). Cataract was noticed ≤ 3 months in 83.7% (n = 77). Mean delay between start of symptoms and operation date was 4.9 years (SD 4.0, range 0-16 years). Preoperative blindness was present in 79.1% of children (n = 68). Posterior capsulotomy and vitrectomy were performed in 161 eyes (83.9%). At the study visit (mean follow-up 33.6 months, SD 15.9) 33 children (35.1%) had BCVA ≥ 6/18 in their best eye and 13 remained blind (13.8%). Spherical equivalent ≤ 2 D was present in 42.6% and astigmatism ≤ 2 D in 80.5% (n = 157). Functionally, vision was normal or nearly normal in 76 children (71.7%) and severe low vision and blindness remained in 2 children each (1.9%). Conclusion: Bilateral pediatric cataract surgery can offer good functional results, even if BCVA does not improve to the same extent. Orthoptic and low vision facilities with efficient community liaison are recommended.
Smedt, Stefan De ; Ngabonziza, Ildephonse ; Speybroeck, Niko ; Fonteyne, Yannick ; Minani, Baptiste ; et. al. Visual and Functional Outcome of Pediatric Bilateral Cataract Surgery with Intraocular Lens Implantation in Rwanda. In: International Journal of Ophthalmology and Clinical Research, Vol. 3, no.4, p. 7p. (2016)