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[Pediatric cataract in a developing country: retrospective review of 328 cases]
Martin A Zimmermann-Paiz1, Carlos R Quiroga-Reyes
1Clínica de Oftalmología Pediátrica Estrabismo y Neuro-oftalmología Dra. Amaría Illescas Putzeys, Hospital de ojos y oídos Dr. Rodolfo Robles V., Instituto de Ciencias de la Visión. oftalmopedia@gmail.com
Insights
Late detection and treatment abandonment significantly impact pediatric cataract outcomes in developing nations. These factors are associated with poor prognosis for visual acuity in children.
Area of Science:
- Ophthalmology
- Pediatric Health
- Public Health
Context:
- Pediatric cataracts are a major contributor to visual impairment in children.
- Understanding the characteristics of pediatric cataracts is crucial for improving eye care in developing regions.
Purpose:
- To characterize pediatric cataracts in an ophthalmic unit within a developing country.
- To identify key factors influencing visual outcomes in pediatric cataract patients.
Summary:
- A retrospective study analyzed 328 pediatric cataract cases (ages 0-14).
- Congenital cataracts (44.2%) and acquired cataracts (55.8%) were analyzed, with a near-even split between unilateral and bilateral cases.
- Surgical treatment was common (98.2%), but treatment abandonment rates were high (70.58% for congenital, 64.10% for acquired).
- Late diagnosis and high treatment abandonment were noted, correlating with poor visual acuity outcomes.
Impact:
- Highlights the challenges in managing pediatric cataracts in resource-limited settings.
- Emphasizes the need for early detection and consistent treatment adherence to improve visual prognosis.
- Provides data to inform public health strategies and clinical interventions for childhood visual impairment.
Introduction:
Pediatric cataracts constitute an important cause of low visual acuity.
Purpose:
The objective of the present work is to know the characteristics of this pathology in an ophthalmic attention unit of a developing country.
Methods:
A retrospective, descriptive, transversal study was carried out in 328 cases of pediatric cataracts (children between 0 and 14 years).
Results:
190 (57.9%) patients were male and 138 (42.1%) female, 145 (44.2%) cases were congenital cataracts and 183 (55.8%) acquired cataracts; 160 (48.8%) presented unilateral affection and 168 (51.2%) bilateral. The treatment was surgical in 98.2% of the cases. The mean age at diagnosis of congenital cataract was 34.9 months. The mean age of presentation of the acquired ones was 76.6 months. The treatment was abandoned in 70.58% cases of congenital cataracts and 64.10% of acquired cataracts. In the congenital ones, 44% presented visual acuity in the range of 20/200 and 20/70 and in the acquired ones, 32.5% were better than 20/30.
Conclusions:
The data found was not encouraging due to the late detection and the abandon of the treatment, which are bad prognosis factors.
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