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Early treatment of congenital bilateral cataract leads to good postop VA

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STOCKHOLM, Sweden — Good postoperative visual acuity was achieved in most healthy children with dense bilateral congenital cataract when surgery was performed before 6 to 8 weeks of age, according to a retrospective study. Chronic glaucoma developed most often when cataract extraction was performed within the first week of life, the study authors noted.

Anna Lundvall and Ulla Kugelberg of St. Erik’s Eye Hospital reviewed the charts of 19 children operated on for congenital bilateral cataract over a 5-year period. The median visual acuity of the better eye was 0.4, and of the fellow eye 0.15. In nine patients who were operated on by 1 month of age, VA varied from 0.4 to 0.8 in the better eye. Four of these infants achieved stereopsis. Pupillary block glaucoma developed in five eyes. Glaucoma occurred predominantly in children who underwent cataract extraction during the first week of life.

The study is published in the December issue of Acta Ophthalmologica Scandinavica.