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} </script> <script src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script> </ul> </div> </nav> <div class="container-fluid bg-grey"> <div class="container pt-3 pb-4"> <div class="white-container mt-4"> <h2 class="bg-hdr">Pediatric Refraction Case Study: Improvement of Vision With Glasses and Contact Lenses in Congenital Cataract Surgeries</h2> <p style="text-align: justify;"><strong style="font-size: 13px; background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif;"><span>AIM:</span></strong><span style="font-size: 13px; background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif;"> To observe the visual prognosis in post congenital cataract children’s between the ages 5-12 years and observe the visual improvement in follow up.</span></p> <p style="text-align: justify;"> </p> <p style="text-align: justify;"><strong style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">METHODOLOGY:</strong><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">  An observational case study was performed including 6 patients (11 eyes) aging from 5- 12 years (mean age: 2.95</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">±0.36 years</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">). All patients underwent complete ophthalmic examination including detailed history, vision, retinoscopy (undilated and dilated), slit lamp biomicroscopy, fundus examination. Three children underwent B-scan examination as fundus view was very hazy (in case of matured cataract). Three patients had history of marriage cansanguity.  After post cataract surgeries, patients underwent refraction. Proper retionoscopy was done on the day of refraction. In case of two patients, vision improvement was done by using contact lenses.  Four patients were assessed by spectacle.  Hand held keratometer was used to assess corneal curvature values for proper contact lens fitting.  Improvement in vision and overall prognosis was observed in next follow up.</span></p> <p style="text-align: justify;"> </p> <p style="text-align: justify;"><strong style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">RESULT:</strong><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;"> Both contact lens and spectacle users shows visual improvement. Distance vision was more improved in case of contact lens patients than spectacle. Glasses were prescribed to patients (mean: 23.06</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">±</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">1.57 D). Contact lenses were prescribed to two patients (mean: 16.5</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">±</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">0.70 D). Near glasses was given to three children depending on their acceptance and comfort ability (mean: 2.58</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">±</span><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">0.11 D). It was also found that stereopsis was better in children later manifesting cataracts, in the absence of strabismus and in cases with a good postoperative VA as it was the most important factor affecting the outcome of stereopsis in children with unilateral pseudophakia.</span></p> <p style="text-align: justify;"> </p> <p style="text-align: justify;"><strong style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">CONCLUSION:</strong><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">  Both spectacle and contact lens wearer were happy and improved confidence in follow ups. So it is very important to prescribe full aphakic correction for post cataract children.</span></p> <p style="text-align: justify;"> </p> <p style="text-align: justify;"><strong style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;">Keywords:</strong><span style="background-color: rgba(255, 255, 255, 0.917969); color: #222222; font-family: arial, sans-serif; font-size: 13px;"> Refraction, spectacle, contact lenses</span></p> <div class="border-top py-2"><b>Posted by: </b>Neelam A Kothawale, B.Optom (M.optom), Lotus College of Optometry, India (<span class="f-sm">30-May-2012</span>)</div> </div> </div> </div> <div class="container_fluid"> <div class="bg-footer"> <div class="container py-4"> <div class="d-flex justify-content-center pt-4"> <div class="text-center f-sm"> <a href="/" title="Home page" class="text-grey me-2">Home</a><span class="me-1">|</span> <a href="/international-conferences/" title="Conferences" 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