Abstract
Purpose This study was aimed at describing our experience in congenital cataract surgery in a developing Country. Methods A retrospective study was conducted in Amman, Jordan. The patients who were diagnosed with congenital cataract and underwent the surgery were included in the study. It was decided to use an intraocular lens if the corneal diameter was more than 10 millimeters. Results The findings revealed that around 13 of the patients did not have any visual axis opacification, indicating that they were aphakic. Visual axis opacification was seen in 8 out of the total sample of participants. Eleven patients with obvious opacification of the visual axis were found to be pseudophakic after at least two procedures and were thus cleared. It was necessary to do a second surgery to rectify the visual axis opacification induced by pseudophakia, which was putting the patient's ability to recuperate at danger. Three of them (or 12 percent) exhibited visual axis opacification, which is a rare occurrence. The intraocular lenses used in the remaining 24 patients were constructed of hydrophilic plastic. Conclusion Patients are less prone to have visual axis opacification while implanted by hydrophobic intraocular lenses is something they should consider.
Highlights
Possessing a congenital cataract in a kid has been associated with an elevated risk of juvenile blindness in studies conducted on this population [1,2,3]
The patients in this retrospective study were those who had been diagnosed with congenital cataract and had been operated on by the surgeon at Prince Hamza Hospital at the time of their diagnosis
In situations where the corneal diameter was more than 10 mm, an intraocular lens (IOL) was implanted that was about the same size as the diameter of the capsular bag, resulting in a clear vision
Summary
Possessing a congenital cataract in a kid has been associated with an elevated risk of juvenile blindness in studies conducted on this population [1,2,3]. When the natural lens of the eye becomes clouded with increasing age, this is referred to as a cataract. Congenital cataracts in newborns are common and may be caused by pharmaceutical reactions, inflammation, genetic diabetes, trauma, infection, susceptibility, or metabolic abnormalities [4, 5]. The use of tetracycline antibiotics during pregnancy to treat infection may result in the development of a congenital cataract as a side effect [2, 3]. In the case of congenital cataracts, issues emerge as a result of the creation of crucial proteins that are required to preserve the clarity of the native lens. Developed surgical techniques have had a substantial impact on the outcomes of cataract surgery in neonates, which has been shown to be significantly improved [4]. Complications will always occur, whether during surgery, soon thereafter, or in the years that follow [2, 4]
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