Factors affecting visual outcome after surgery for bilateral congenital cataracts

Am J Ophthalmol. 1994 Jan 15;117(1):58-64. doi: 10.1016/s0002-9394(14)73015-6.


The medical records of 33 patients with dense bilateral congenital cataracts were analyzed for factors affecting visual outcome. The average postoperative follow-up was 6.3 years. Of the 23 patients tested with optotypes (verbal children), 14 had visual acuities of 20/80 or better. Eight patients had binocular vision. Preoperative nystagmus, age at surgery, microphthalmos, and postoperative strabismus were not prognostically significant in visual outcome. Postoperative nystagmus was common and was not indicative of a poor visual outcome. Ocular anomalies, systemic anomalies, and postoperative complications were associated with a lower percentage of good postoperative visual acuities.

MeSH terms

  • Cataract / congenital*
  • Cataract Extraction*
  • Female
  • Fixation, Ocular / physiology
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Risk Factors
  • Treatment Outcome
  • Vision Disorders / etiology*
  • Vision, Binocular / physiology
  • Visual Acuity / physiology*