Function vision outcomes in pseudophakic children
Reviewed by Fiona Rowe

This study evaluated the functional vision of 196 pseudophakic children and their carers treated at a tertiary centre in Southwest Nigeria and identified association factors. Mean age was 9.8 ±3.4 years (range 2–16) with 68.9% male and 31.1% female. Median age at onset / detection of cataract was three years (range one month – 14 years), median age at presentation was eight years (range nine months – 15 years), median age at surgery was eight years (range 1–16 years) and median functional score was 90.0 (range 10–100). Type of cataract was developmental in 44.4% and 59.2% were bilateral pseudophakia. There was no significance between girls and boys or age group for functional score. Median functional score was significantly higher for unilateral pseudophakia (90.01) than for bilateral (74.98). There were also significant differences for nil vs comorbidities, one vs two surgical procedures, best corrected visual acuity and near visual acuity level. In general, functional visual scores were low in this study population and this was possibly due to the presence of comorbidities, greater than one surgical procedure and the number of congenital cataracts, low family income and level of visual acuity. The authors recommend inclusion of functional visual assessment for pseudophakic children in addition to typical objective measures. This study provides further information to inform clinical care and educational care.

Functional vision of pseudophakic children attending a pediatric ophthalmology clinic in Southwest Nigeria.
Aremu OO, Ugalahi MO, Olusanya BA, Oluleye TS.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2024;61(2):138–46.