Indian Journal of Clinical and Experimental Ophthalmology
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2395-1443
Online ISSN: 2395-1451
CODEN : IJCEKF
Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...Original Article
Author Details :
Volume : 3, Issue : 4, Year : 2017
Article Page : 491-494
Abstract
Introduction: Glaucoma is a known cause of visual loss despite successful congenital cataract surgery. The reported prevalence of glaucoma after congenital cataract extraction varies from 1 to 32 %. Some authors have reported increased CCTs among children who underwent cataract extraction. Nevertheless, it is unclear whether the increased CCT was present before cataract surgery or developed post-operatively.
Aims: To evaluate longitudinal changes in CCT following congenital cataract surgery with and without IOL implantation.
Settings and Design: The study was a prospective, longitudinal, observational clinical study.
Materials and Methods: A total 30 cataractous eyes of paediatric patients (0 to 16 yrs) were enrolled from the paediatric ophthalmology clinic of our institute. CCT was measured preoperatively in all 30 cataractous eyes, out of which 15 eyes were left aphakic and the rest were made pseudophakic. CCT was measured at 1 month and 3 month post-operative period in both the groups.
Statistical analysis used: The data collected was tabulated and analysed following standard statistical protocol using Metlab software.
Results: Preoperative CCT values in cataractous eyes were found to tally with the mean CCT of healthy eyes in that same age group. The post-op CCTs after 1 and 3 month were found to be greater than the pre-operative measurements in all the patients. However, it was only in the aphakic group that the increase in CCT was found to be statistically significant. [aphakic p=0.003(1 month),0.004(3 month)]; [pseudophakic p= 0.11(1month),0.06(3 month)].
Conclusions: In aphakic eyes, cornea was found to have significantly increased CCTs post-operatively which in turn may influence IOP measurements (false positive results), glaucoma diagnosis,follow-up and treatment.
In pseudophakic eyes, cornea was not found to have significantly increased CCTs post-operatively.
Keywords: CCT, Congenital cataract, Aphakia, Pseudophakia, Glaucoma.
Key message: IOL implantation after cataract extraction in cases of congenital cataract is not associated with significant increase in CCT post operatively when compared to patients kept aphakic.
How to cite : Mukhopadhyay U, Biswas S, Kumar J, Changes in central corneal thickness (CCT) in children undergoing cataract surgery: A longitudinal prospective study at a tertiary eye care centre in Kolkata, West Bengal, India. Indian J Clin Exp Ophthalmol 2017;3(4):491-494
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