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Published on: December 1, 2023
Traumatic cataract surgery in pediatric patients. Experience in a site
Verónica Y Burgos-Elías1, Ma José Marroquín-Sarti2, Martin A Zimmermann-Paiz3
1Fellowship II en la Unidad de Oftalmología Pediátrica, Estrabismo y Neurooftalmología "Dra. Ana María Illescas Putzeys", Hospital de Ojos y Oídos "Dr. Rodolfo Robles V.", Instituto de Ciencias de la Visión, Benemérito Comité Pro Ciegos y Sordos de Guatemala, Guatemala. veronicaburgos1@hotmail.com.
Insights
Ocular trauma in children is common, with blunt force injuries frequently causing cataracts. Most young patients undergoing surgery achieved good visual outcomes, highlighting the importance of timely intervention for traumatic cataracts.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Ocular trauma represents a significant global health concern, particularly in pediatric populations.
- Traumatic cataracts are a leading cause of vision impairment in children following eye injuries.
Purpose of the Study:
- To characterize pediatric patients (<14 years) who underwent surgery for traumatic cataracts.
- To analyze the demographics, injury mechanisms, and visual outcomes of children with traumatic cataracts.
Main Methods:
- Retrospective, descriptive, and observational study design.
- Review of medical records of 54 pediatric patients undergoing cataract surgery between 2010 and 2015.
- Data collection included patient demographics, trauma type, and postoperative visual acuity.
Main Results:
- The majority of patients (75%) were boys, with 68% aged 6-11 years.
- Blunt force trauma was the most common cause (57.4%) of injury.
- A significant proportion (68.2%) achieved a visual acuity of 20/70 or better post-surgery.
Conclusions:
- Pediatric traumatic cataracts predominantly affect young boys and result from blunt force injuries.
- Surgical intervention for traumatic cataracts in children can lead to favorable visual outcomes.
- Understanding these characteristics aids in prevention strategies and management of pediatric ocular trauma.
Abstract:
Ocular trauma is a signifcant problem worldwide. The objective of this study was to determine the characteristics of patients younger than 14 years who underwent traumatic cataract surgery at the Unit of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology "Dra. Ana María Illescas Putzeys" of Hospital de Ojos y Oídos "Dr. Rodolfo Robles V." A retrospective, descriptive, and observational study was carried out to review the medical records of patients who underwent cataract surgery between 2010 and 2015. A total of 54 children underwent traumatic cataract surgery; 75% were boys; 68% were in the 6-11-year-old age range. Blunt force trauma was observed in 57.4%. A visual acuity of 20/70 or better was achieved by 68.2% of patients.
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