Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia

Oliveira, Márcia Lima Santos; Giovanni, Maria Elizabeth Di; Jr, Francisco Porfírio Neto; Tartarella, Márcia Beatriz

doi:10.1590/s0004-27492004000600015

Cited by 12 publications

(12 citation statements)

References 9 publications

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“…In a previous study of children with congenital cataract who underwent lensectomy, strabismus was present in 54.8% of the patients and esotropia accounted for 64.7% of the cases (27) . A study of ocular alignment after surgery conducted in 41 children with dense cataracts, among which 27 (66%) developed strabismus, demonstrated that congenital cataract was associated with a greater risk for the occurrence of strabismus than developmental cataract.…”

Section: Discussionmentioning

confidence: 89%

Pediatric cataracts: clinical aspects, frequency of strabismus and chronological, etiological, and morphological features

Tartarella¹,

Britez-Colombi²,

Milhomem³

et al. 2014

Arquivos Brasileiros De Oftalmologia

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RESUMO ABSTRACTPurpose: This study aimed to evaluate the frequency of strabismus and chronological, etiological, and morphological features in patients with pediatric cataracts. Methods: Medical records of pediatric patients were evaluated at the Congenital Cataract Section, Department of Ophthalmology, Federal University of São Paulo, from 2001 to 2011. Patients with congenital cataract or developmental cataract were included. The patients with traumatic cataract, cataract secondary to uveitis, radiation or drugs, aphakic or pseudophakic patients who underwent surgery in another hospital, patients with glaucoma, non-lenticular leukocorias (retinoblastoma, retinopathy of prematurity, prelenticular leukocorias), and lens subluxation were excluded from the study. The following outcomes were evaluated: frequency of chronological, etiological, and morphological features, laterality, and occurrence of associated strabismus. Results: A total of 207 patients were included. One hundred and seventeen patients (56.5%) had congenital cataract and 90 patients (43.5%) had developmental cataract. One hundred and nine patients (52.6%) had unilateral cataract. In terms of morphology, 72 children (33.8%) had zonular cataract and 66 (31.9%) had total cataract. Idiopathic cataract affected 150 patients (72.5%). There were 108 patients (52.2%) with strabismus, mainly secondary esotropia. Conclusion: Idiopathic etiology was the most frequent cause in this group of pa tients. Zonular cataract was the main morphological type of cataract in the study. Unilateral cataract occurred more frequently in patients with persistent fetal vasculature (PFV). Strabismus presented in 52% of the patients. The current analysis may help establish an earlier and more accurate diagnosis of pediatric cataracts.

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Section: Discussionmentioning

confidence: 89%

Pediatric cataracts: clinical aspects, frequency of strabismus and chronological, etiological, and morphological features

Tartarella¹,

Britez-Colombi²,

Milhomem³

et al. 2014

Arquivos Brasileiros De Oftalmologia

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“…Early identification of cataract and prompt referral for specialized treatment are needed for good visual results. Despite existence of the simple and non-invasive red reflex test for cataract detection (11,(15)(16)(17)(18) , screening is not a common practice in the majority of countries and most of the time delay detection is made by parents when they notice leukocoria, nystagmus or/and strabismus (9,10,19,20) . In Brazil, surgery for cataract in children is performed in both private and public tertiary centers, although ophthalmic services differ in terms of availability and quality in these two sectors.…”

Section: Introductionmentioning

confidence: 99%

Health seeking behavior of the families of children with cataract attending an eye clinic in Rio de Janeiro, Brazil

Leite¹,

Zin²

2011

Arq. Bras. Oftalmol.

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“…Inherited cataracts correspond to 8 to 25% of congenital cataracts (11) , particularly for bilateral cataract, Rahi and Dezateux (12) found that 27% of children with bilateral isolated congenital cataract had a genetic basis compared with 2% of unilateral cases. In Brazil, some authors (13) reported hereditary etiology in 22%, intrauterine infections (rubella, toxoplasmosis, cytomegalovirus, herpes simplex, varicella, and syphilis) in 38%, and idiopathic in 40% of the bilateral cases. Although X-linked and autosomal recessive transmission has been observed, the most frequent mode of inheritance is autosomal dominant with a high degree of penetrance (14) .…”

Section: A Catarata Congênita é Uma Das Principais Causas Tratáveis Dmentioning

confidence: 99%

The genetic and molecular basis of congenital cataract

Santana¹,

Waiswo²

2011

Arq. Bras. Oftalmol.

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Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia

Cited by 12 publications

References 9 publications

Pediatric cataracts: clinical aspects, frequency of strabismus and chronological, etiological, and morphological features

Pediatric cataracts: clinical aspects, frequency of strabismus and chronological, etiological, and morphological features

Health seeking behavior of the families of children with cataract attending an eye clinic in Rio de Janeiro, Brazil

The genetic and molecular basis of congenital cataract

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