Materials and Methods: Demographic characteristic, clinical findings and postoperative data of 76 eyes of 47 patients were retrospectively reviewived.

Results: 26 patients (55.3%) were male and 21 were female (44.7%) (p>0.05). Ten patients (21.3%) had associated systemic diseases (1 Down syndrome, 2 cerebral palsy, 1 prematurity, 2 galactozemia, 2 congenital rubella, 1 spinal muscular atrophy and 1 Axenfeld syndrome). Cataract was bilateral in 28 patients (59.6%). The mean age at admission was 18.1 months (2-70) and the mean age at surgery was 20.3 months (5-74). The mean follow up was 91.2 months (34-190). While 17 eyes (22.4%) ended up aphakic, 59 eyes (77.6%) ended up pseudophakic. There was not any significant difference in mean visual acuity between aphakic (Snellen 0.43±0.2) and pseudophakic eyes (Snellen 0.53±0.3) (p=0.36). Unfavorable visual outcome (Snellen ?0.1) was noted in 12 eyes (15.8%). Early and late complications were as follows; one eye needed intraocular lens exchange for refractive reason, one eye developed bullous keratopathy, and 15 eyes (19.7%) developed glaucoma. Fourteen of the glaucoma patients were aphakic and 2 of them had filtrating glaucoma surgery.

Conclusion: Cataract surgery in pediatric cases resulted in favorable visual outcomes with low short and long term complications. The high frequency of associated systemic abnormalities found in this study indicates the importance of systemic examination in children diagnosed with cataract. Keywords : pediatric, cataract, glaucoma