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Age at recognition and age at presentation for surgery for congenital and developmental cataract in Kazakhstan

Aliya Kabylbekova1, Serik Meirmanov2, Altyn Aringazina3

  • 1Department of Population Health and Social Science, Kazakhstan's Medical University "KSPH", Almaty, Kazakhstan.

Annals of Medicine
|July 14, 2022
PubMed

Insights

Children in Kazakhstan with congenital and developmental cataracts face significant delays in surgical treatment, particularly those from rural areas. Early intervention is crucial for better visual outcomes, highlighting the need to address these presentation delays.

Area of Science:

  • Ophthalmology
  • Pediatric ophthalmology
  • Public health

Background:

  • Congenital and developmental cataracts in children require timely surgical intervention for optimal visual development.
  • Delayed treatment can lead to irreversible vision impairment.
  • Understanding presentation patterns is key to improving pediatric eye care outcomes.

Purpose of the Study:

  • To determine the age of recognition and surgical presentation for congenital and developmental cataracts in children in Kazakhstan.
  • To analyze factors influencing delayed presentation for cataract surgery.

Main Methods:

  • Retrospective review of 897 pediatric patients (0-18 years) with congenital/developmental cataracts from January 2010 to December 2020.
  • Data collected included gender, age at recognition, age at surgery, laterality, and residential location (rural/urban).
  • Statistical analysis focused on median ages and delays in presentation.

Main Results:

  • The median age of recognition was 12 months, and the median age at surgery was 51 months.
  • Only 14.7% of children had surgery within the first year of life, with a median delay of 15 months.
  • Children from rural areas presented for surgery significantly later than urban children.

Conclusions:

  • Pediatric cataract surgery in Kazakhstan occurs at a much older age compared to developed nations.
  • Significant delays in presentation for surgery are evident, especially for children in rural areas.
  • Addressing barriers to timely presentation is essential to improve visual outcomes for children with cataracts.
Abstract

Keywords:
Childhood cataractKazakhstancataract surgerychildrendelay

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