Abstract
It is estimated that every minute a child becomes bilaterally blind in developing nations. Paediatric cataract blindness presents an enormous problem to developing countries in terms of the human social burden, economic loss, and morbidity. The management of the paediatric cataract is lens aspiration with intra ocular lens implantation with anterior vitrectomy. The surgery should be performed by paediatric ophthalmologist in tertiary eye care centres. Facilities of general anaesthesia should be available in these centres and the operating theatres should be well-equipped with vitrectomy machine, biometry and portable keratometer.
Highlights
It is estimated that every minute a child becomes bilaterally blind in developing nations
8 Earlier, the human resources involved in paediatric cataract surgery at different tertiary eye centres were general ophthalmologist, anaesthesiologist and ophthalmic assistants
One of the zonal eye hospitals can be established as the referral centre for paediatric eye care service
Summary
It is estimated that every minute a child becomes bilaterally blind in developing nations. To assure the best long term outcome for cataract blind children, appropriate paediatric surgical techniques need to be defined and adopted by ophthalmic surgeons of developing countries. The management of paediatric cataract blindness needs to be addressed in developing countries like Nepal. Tertiary Eye Care Centre Model for Development of Paediatric Cataract Surgery Services in Developing Countries guardians would rather not have their children undergo cataract operation due to geographical challenges and a poor socio-economic condition.
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