{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:51Z","timestamp":1787758371543,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To analyze intraoperative difficulties and visual and surgical outcomes following pediatric cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This five-year retrospective study (2014\u20132019) included 138 eyes (85 children) with cataract aged between 12 months and 18 years (either sex). All children had undergone best-corrected visual acuity (BCVA), anterior and posterior segment evaluation, intraocular lens (IOL) power calculation, superior manual-small-incision cataract surgery (MSICS) with or without posterior capsulotomy\/anterior vitrectomy and IOL implantation under general or local anesthesia, visual rehabilitation, and had been followed up for a minimum period of 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age was 111.27 \u00b1 4.84 months. Preoperative BCVA distance: 113 (81.88%)eyes had BCVA &lt; 6\/60; near BCVA: 114 (82.6%) eyes had \u2264N36. At last postoperative follow-up (mean: 20.98 \u00b1 13.08 months): distant BCVA- \u22656\/60 had been recorded in 120 (86.96%) eyes; near BCVA- &gt;N36 in 123 (89.13%) eyes. Improvement in BCVA was statistically significant. Intraoperative scleral tunnel difficulties were seen in three eyes (thin flap in two, and buttonhole in one eye); in the majority of the eyes 113 (81.88%), IOL was placed in the bag. Twenty eyes had early postoperative inflammation. At last follow-up: posterior capsular opacity was recorded in six eyes, IOL decenteration in two eyes, secondary glaucoma in six eyes, and severe amblyopia in 36 (26.09%) eyes. The mean myopic shift was \u2212 1.11 \u00b1 0.89 D and was statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Superior MSICS as a treatment for pediatric cataract has minimal intraoperative complications and satisfactory visual and surgical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1615_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"3888-3892","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Outcome of superior manual small-incision cataract surgery in pediatric age group - A five year retrospective study at a tertiary eye hospital in Karnataka"],"prefix":"10.4103","volume":"70","author":[{"given":"Aashish Kumar","family":"Gangrade","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Kavitha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallikarjun M","family":"Heralgi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-38-20240828","first-page":"227","article-title":"Childhood blindness in the context of VISION 2020 \u2013The right to sight","volume":"79","author":"Gilbert","year":"2001","journal-title":"Bull World Health Organ"},{"key":"R2-38-20240828","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1038\/eye.1995.137","article-title":"Childhood blindness in India:Causes in 1318 blind school students in nine states","volume":"9","author":"Rahi","year":"1995","journal-title":"Eye (Lond"},{"key":"R3-38-20240828","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1038\/eye.2016.156","article-title":"Global prevalence of childhood cataract:A systematic review","volume":"30","author":"Sheeladevi","year":"2016","journal-title":"Eye (Lond"},{"key":"R4-38-20240828","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1136\/bjo.87.1.14","article-title":"Paediatric cataract blindness in the developing world:Surgical techniques and intraocular lenses in the new millennium","volume":"87","author":"Wilson","year":"2003","journal-title":"Br J Ophthalmol"},{"key":"R5-38-20240828","doi-asserted-by":"crossref","first-page":"186","DOI":"10.4103\/0301-4738.128630","article-title":"Long term outcomes of bilateral congenital and developmental cataracts operated in Maharashtra, India. 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