Paediatric cataract surgery is associated with several complications among\nwhich is high ocular inflammatory response. Conventionally immediate\npost-operative subconjunctival steroid with adjuvant systemic and frequent\ntopical steroids have been used to control post-operative inflammation. Studies\nhave reported the advantage of intracameral dexamethasone in decreasing\npostoperative inflammation. Aim: To evaluate the clinical outcome of\nintracameral dexamethasone in paediatric cataract surgery in Evangelical\nChurch of West Africa (ECWA) Eye Hospital, Kano. Method: This was a\nprospective study of 694 paediatric cataract surgeries from January 2006 to\nDecember 2014. All the patients were given intracameral dexamethasone 0.4\nmg (0.1 ml) immediately after surgery. Each patient had surgical intervention\non one eye. Evaluation was done on first, third postoperative day, one week\nand four weeks later (follow up visits). Outcomes were measured on the\nfourth week post-operation. Examination of children was done with help of\nslit lamp for cells, flare or any other sign of inflammation. In case of\nnon-cooperative children examination was done with microscope under sedation/\ngeneral anaesthesia for fibrinous reaction, exudative membrane, posterior\nsynechiae and red reflex.
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