PROGNOSTIC FACTORS IN THE MANAGEMENT OF C ONGENITAL CATARACT

Purpose Study of different factors which can change the visual prognos is in congenital cataract. Methods One hundred seventy eyes of 100 chi ldren with congenital cataract are operated by extracapsular cataract extraction with limbic incision. Posterior rhexis and anterior vitrect omy were associated in children under 2 years. Implantation was used i n 42%, contact lens in 8 %, Other cases were corrected by glasses. The prognostic factors studied were: uni- or bilaterality, partial or com plete aspect of cataract, age of apparition and management, and associ ation with other malformations. Results Only 9 eyes out of 30 with uni lateral congenital cataracts had visual acuity greater than or equal t o 2/10; 44.4 % of bilateral cataracts had visual acuity greater than o r equal to 2/10; The best visual acuity was noted in progressive and p artial cataract without associated malformations.