Cirurgia da catarata infantil unilateral

Brandão, Adriana Maria Drummond; Tartarella, Márcia Beatriz

doi:10.1590/s0004-27492008000200019

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Cataracts with undetermined causes are classified as idiopathic (15) . Morphologically, pediatric cataracts are classified into total cataract, zonular cataract (lamellar, pulverulent, nuclear, sutural), capsular cataract (anterior subcapsular, posterior subcapsular, lenticonus), and membranous cataract (16) .…”

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confidence: 99%

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: Introductionmentioning

confidence: 99%

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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Catarata congénita bilateral: ambliopía por deprivación y su relación con el desarrollo

Uribe-Campos¹,

Arroyo-Muñoz²,

Mandujano-Valdés³

et al. 2018

Revista Mexicana De Oftalmología

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Determinar el impacto de la edad de cirugía en la catarata congénita bilateral (CCB) sobre los cambios en el desarrollo cognitivo, motor y del lenguaje, considerando los resultados de la función visual. Método: Se trata de un estudio descriptivo, longitudinal y ambispectivo de la evolución de la agudeza visual y del desarrollo, que utilizó las cartillas de agudeza visual de Teller, retinoscopia y la Escala de Desarrollo Infantil Bayley III. Fueron incluidos ocho pacientes con CCB para establecer las condiciones generales de inicio, con un seguimiento longitudinal después de la cirugía. Los pacientes fueron divididos en dos grupos según la edad de tratamiento (tratamiento temprano < 6 meses y tratamiento tardío > 6 meses). Se utilizó estadística no paramétrica mediante la prueba de tendencia a través de grupos ordenados utilizando un nivel de significancia de p < 0.05. A través de un análisis cualitativo se realizó una descripción del desarrollo visual. Resultados: El error refractivo disminuyó de manera progresiva y mostró una diferencia estadísticamente significativa entre ambos grupos (p < 0.01). El área cognitiva mostró mejores resultados en el grupo de tratamiento temprano (p = 0.012). Conclusión: El retraso en el tratamiento quirúrgico conduce a graves alteraciones en la organización de la función visual, así como en los comportamientos observables en el área motora, cognitiva y del lenguaje, lo que limita el desarrollo integral y adecuado en el individuo. Es necesaria la implementación de estrategias que incluyan la rehabilitación visual y la intervención temprana de alteraciones del desarrollo.

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Cirurgia da catarata infantil unilateral

Abstract: Although controversial, the surgical treatment of unilateral cataract, in this study, showed improvement in many cases.

Cited by 2 publications

References 8 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

Catarata congénita bilateral: ambliopía por deprivación y su relación con el desarrollo

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