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@#AIM: To observe the eye development and complications after primary intraocular lens implantation(IOL)in infantile cataract.<p>METHODS: The postoperative complications, corrected vision, refractive state, ocular axis of 46 patients(92 eyes)with congenital cataract treated by IOL implantation within 10y were retrospectively analyzed.<p>RESULTS: Five eyes(5%)had postoperative complications. In this study, the average corrected visual acuity was 0.40±0.10 at 3a follow-up after surgery, 0.51±0.01 at 5a follow-up after surgery, and 0.71±0.01 at 7a follow-up; The axial length of the eyes was 20.04±0.02mm at 3a after surgery, 22.09±0.09mm at 5a after surgery, and the axial length of the eyes was 22.96±0.06mm at 7a after surgery; The mean refractive state(equivalent spherical lens degree)at 3a after surgery was observed to be +5.37±0.12 DS, +3.20±0.20 DS at 5a after surgery, and +0.92±0.20 DS at 7a after surgery.<p>CONCLUSION: The appropriate surgical strategies can give safely and effectively opportunity for the patients with infantile cataract, which also have relatively normal refractive development.
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Aim@#The aim was to determine etiology and clinical presentation of pediatric cataract during 1 year period@*Methods@#NCMCH is tertiary and referral center for all pediatric patients with cataracts in 21 provinces and UB. Database contains cases during 1 year period. We have recorded the following data from the medical histories of these patients: family history, current age, age at diagnosis, age at surgery either eye, morphology of cataracts, laterality, associated findings and other investigations which were performed as clinically indicated. We have operated 80 children in total during 1 year period, however the study included 68 patients (91), eyes excluding 12 patients.@*Results@#Of 68 children with cataract 76.% were non traumatic, 21,15% hereditary, 51,9% were congenital/infantile, 35.8% were unilateral, 44% were associated other ocular findings, 25% were associated systemic disease. 33.3% were diagnosed and operated 0-12 months. 73% of congenital/infantile cataract patients were nystagmus. Of traumatic cataract 76,5% due to penetrating trauma.@*Conclusions@#Patients of pediatric cataract 1/3 were usually diagnosed in 0-12 months. 1/3 of these patients were diagnosed congenital cataract whereas 1/4 were nystagmus. To add up associating congenital/infantile cataract with Down syndrome weren’t rare.
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Introducción: la catarata de cualquier etiología es la una de las causas más importantes de ceguera tratable en los niños. Objetivos: caracterizar, desde los puntos de vista clínico y epidemiológico, la catarata congénita e infantil. Métodos: se realizó un estudio observacional, descriptivo y retrospectivo en el Hospital Pediátrico "William Soler", entre enero de 2004 y junio de 2006. Se analizaron las variables: edad, sexo, procedencia, vía de captación, síntomas, factores de riesgo, localización, etiología probable y lateralidad de la catarata, alteraciones oculares asociadas y visión posquirúrgica. Los resultados se expresaron en media y porcentaje. Resultados: la edad promedio fue de 4,9 años y para menores de 1 año de 6,6 meses. Predominaron los varones (60,32 %), los pacientes de La Habana (25,4 %), la remisión médica como vía de captación (71,43 %), la leucocoria (30,15 %), la presencia de anomalías congénitas múltiples (34,92 %), la localización central de la catarata (44,44 %), la causa idiopática (41,27 %) y la bilateralidad (66,67 %). El 34,92 % de los pacientes tenía asociada otra anomalía ocular, y el 59,04 % de los ojos operados alcanzaron visión entre 0,7 y 1,0. Conclusiones: en la serie analizada predominaron los lactantes menores de 2 meses y los varones, los pacientes de La Habana, la remisión médica, la leucocoria y las anomalías congénitas múltiples asociadas, la localización central y la posible etiología; en las bilaterales, el origen hereditario; y en las unilaterales, la causa desconocida. La mejoría visual posquirúrgica fue mayor a medida que disminuyó la edad del paciente al momento de realizar la cirugía.
Introduction: cataract of any etiology is one of the most important causes of treatable blindness in children. Objectives: to clinically and epidemiologically characterize the congenital and infantile cataract. Methods: a retrospective, observational and descriptive study was carried out in "William Soler" pediatric hospital from January 2004 to June 2006. The following variables were analyzed; age, sex, origin, way of detection, symptoms, risk factors, location, likely etiology and laterality of cataract, associated eye disturbances and post-surgical vision. The results were given as means and percentages. Results: the average age was 4.9 years, but for those children under one year old, it was 6.6 months. Males (60.25 %), patients from La Habana province (25.4 %), medical referral as the way of detection (71.43 %), leukocoria (30.15 %), multiple congenital anomalies (34.92 %), central location of cataract (44.44 %), the idiopathic cause (41.27 %) and bilateral cataract (66.67 %) were all predominant. Another kind of associated ocular anomaly was found in 34.92 % of patients whereas 59.04 % of operated eyes reached 0.7-1.0 vision. Conclusions: in the analyzed series, under 2 months children, males, patients from La Habana province, medical referral, leukocoria and associated multiple congenital anomalies, the central location of cataract were prevalent; the possible etiology of bilateral cataract was hereditary origin whereas the cause of unilateral cataract was unknown. The post-surgical visual improvement was greater as the patient's age was younger at the time of surgery.