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Titolo:
Childhood cataracts
Autore:
Chia, WLA; Martin, F;
Indirizzi:
Childrens Hosp, Dept Ophthalmol, Westmead, NSW 2045, Australia Childrens Hosp Westmead NSW Australia 2045 Westmead, NSW 2045, Australia
Titolo Testata:
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
fascicolo: 2, volume: 29, anno: 2001,
pagine: 75 - 80
SICI:
1442-6404(200104)29:2<75:CC>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONGENITAL UNILATERAL CATARACT; INFANTILE CATARACTS; SURGERY; PREVALENCE; GLAUCOMA;
Keywords:
cataract; child;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Martin, F Childrens Hosp, Dept Ophthalmol, Westmead, NSW 2045, Australia Childrens Hosp Westmead NSW Australia 2045 NSW 2045, Australia
Citazione:
W.L.A. Chia e F. Martin, "Childhood cataracts", CLIN EXP OP, 29(2), 2001, pp. 75-80

Abstract

Objective: The aim of this study was to determine the surgical outcome of childhood cataracts. Method: Between 1990 and 1997, 137 patients less than 10 years of age (181eyes) underwent cataract surgery at the Royal Alexandra Hospital for Children/New Children's Hospital. Data were collected retrospectively from medical records and supplemented with data from referring ophthalmologists. Results: In the majority of patients (53.0%), the cause of cataract was unknown. Sixty-two patients (45.3%) had bilateral and 75 patients (54.7%) hadunilateral cataracts. In 84 patients (107 eyes; 59.1%), the onset of visually significant cataract was estimated to be before the age of 2 years. Reliable postoperative visual acuity (VA) was obtained in 150 eyes from 116 patients. The mean LogMAR VA was 0.71 +/- 0.55 in bilateral cataracts and 1.17 +/- 0.68 in unilateral cataracts. Visual acuity was poor (LogMARVA > 1.0)in 71.8% of unilateral cataracts (compared to 27.9% in bilateral cataracts, P < 0.0001), and in 64.9% when onset was less than 2 years (compared to 22.4% in later onset cataract, P < 0.0001). Posterior capsular opacity requiring laser or surgical removal was noted in 40 patients (44 eyes; 24.4%). Other complications included raised intraocular pressure in six patients (seven eyes; 3.7%), displaced intraocular lens or iris capture in 11 patients (12 eyes; 6.6%), ectopic pupil in five patients (five eyes; 2.7%), and severe inflammation in eight patients (12 eyes; 6.6%). There was cosmetically significant esotropia or exotropia in 24 patients (23 eyes; 12.7%). Conclusion: The prognosis for vision was significantly poorer in unilateral and earlier onset cataract. The importance of early diagnosis, prompt treatment and vigilant postoperative follow up in this subgroup cannot be overemphasized.

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Documento generato il 04/04/20 alle ore 02:51:18