Table of Contents - WOC 2012

FP-PED-SA 171 (4)
Optical Iridectomy - Safe and Effective Option for Central Corneal
Opacity Management in Very Young Children
Subramaniam Ramakrishnan (1) , Narendran Kalpana (1) , Prabu Rajesh (1) ,
Agrawal Neelu (1) , Ganesh Sandra (1)
1. Department of Pediatric Ophthalmolgy and Strabismus, Aravind Eye Hospital
Objectives: To study the effect of optical iridectomy in cases of central corneal
opacity in very young children Methods and material: A retrospective case
series of 23 patients (27 eyes) with central corneal opacity who underwent
optical iridectomy from January 2005 to June 2008 were studied. Most
common cause for corneal opacities, other ocular and systemic associations
was studied. Visual acuity was assessed preoperative and postoperatively at 6
months, 1year, 2year and at last follow up period.
Results: 23 patients (27 eyes) with central corneal opacity underwent optical
iridectomy. Mean age at presentation was 16.37 months. Mean age of surgery
was 26 months. Average follow up period was 4.63 years. Most common cause
of central corneal opacity was found to be Peters anomaly, second being
idiopathic congenital corneal opacity. Majority had no systemic associations.
Visual acuity was near normal and good in 40.74% of patients. 18.52% children
had ambulatory vision. 33.33% children showed no visual improvement. There
are no major postoperative complications.
Conclusion: Optical iridectomy is a safe and effective option for central corneal
opacity in very young children. It is a useful alternative for keratoplasty in young
children which has a high postoperative morbidity and failure rate.
FP-PED-SA 171 (5)
Long-Term Outcome of Pediatric Cataract Surgery in India
Gogate Parikshit (1,2) , Patil Shailbala (1) , Kulkarni Anil (1) , Rao G V (3) , McLeod
Joan (4)
1. Lions NAB Eye Hospital
2. Dr. Gogate›s Eye Clinic
3. ORBIS International, India Country Office
4. ORBIS International, Headquarters
Purpose: To study the long term outcome of pediatric cataract surgery.
Methods: 332 non-traumatic pediatric cataracts of 205 children operated in
2005-8 underwent a comprehensive eye examination in 2011. Demographic
data, visual acuity and causes of poor outcome were recorded.
Results: The average age was 13.1 years (range 2mon-17 years, SD 5.02) and
64.2 % were male. 37.8% had best corrected visual acuity >= 6/18. 20 (8.3
%) needed more than one surgery for an eye. Only 12% had attended regular
follow-up. Of those who underwent primary posterior capsulotomy and anterior
vitrectomy (PPC+AV) (all aged