Advances in the management of congenital and infantile cataract

Lloyd, I C; Ashworth, Jane; Biswas, Susmito; Abadi, Richard V.

doi:10.1038/sj.eye.6702845

Cited by 113 publications

(87 citation statements)

References 69 publications

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“…Early diagnosis and surgical treatment are required for good visual outcome as delayed surgery in the presence of amblyopia usually results in poor visual outcome. [12][13][14] The absence of vaccination against rubella has been implicated as contributory to high rate of congenital cataract in underdeveloped countries. 13,15 Glaucoma was the second leading cause of blindness in this study; this is similar to previous reports.…”

Section: Discussionmentioning

confidence: 99%

Causes of Blindness in a Special Education School

Onakpoya¹,

Adegbehingbe²,

Omotoye³

et al. 2011

West African Journal of Medicine

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BACKGROUND: Blind children and young adults have to overcome a lifetime of emotional, social and economic difficulties. They employ non-vision dependent methods for education. OBJECTIVE: To assess the causes of blindness in a special school in southwestern Nigeria to aid the development of efficient blindness prevention programmes. METHODS: A cross-sectional survey of the Ekiti State Special Education School, Nigeria was conducted in May-June 2008 after approval from the Ministry of Education. All students in the blind section were examined for visual acuity, pen-torch eye examination and dilated fundoscopy in addition to taking biodata and history. RESULTS: Thirty blind students with mean age of 18±7.3 years and male: female ratio of 1.7:1 were examined. Blindness resulted commonly from cataract eight (26.7%), glaucoma six (20%) retinitis pigmentosa four (16.7%) and posttraumatic phthysis bulbi two (6.7%). Blindness was avoidable in 18 (61%) of cases. Glaucoma blindness was associated with redness, pain, lacrimation and photophobia in 15 (50%) and hyphaema in 16.7% of students; none of these students were on any medication at the time of study. CONCLUSION: The causes of blindness in rehabilitation school for the blind are largely avoidable and glaucoma-blind pupils face additional painful eye related morbidity during rehabilitation. While preventive measures and early intervention are needful against childhood cataract and glaucoma, regular ophthalmic consultations and medications are needed especially for glaucoma blind pupils. WAJM 2011; 30(1): 47-50.

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Section: Discussionmentioning

confidence: 99%

Causes of Blindness in a Special Education School

Onakpoya¹,

Adegbehingbe²,

Omotoye³

et al. 2011

West African Journal of Medicine

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“…In either pathological condition proper visual experience is altered, causing a marked impairment of normal visual functions (amblyopia) that is irreversible if not treated before 8 years of age (Holmes & Clarke 2006;Friedman et al, 2009;Maurer & Hensch 2012). A similar phenomenon is described by clinical observations of children born with congenital cataracts, a pathological condition in which the lens of the eye becomes milky and therefore no longer permits images to form on the retina (Lloyd et al, 2007;Milazzo et al, 2011). The recovery of normal visual functions after long-term sensory deprivation has long been a subject of study with the prospect of finding therapies for human amblyopia.…”

Section: Introductionmentioning

confidence: 80%

Insights into Visual Cortex Plasticity: Interaction Between Genes and Sensory Experience

Maya‐Vetencourt¹,

Caleo²

2012

Visual Cortex - Current Status and Perspectives

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“…El éxito del tratamiento depende en gran medida de que el diagnóstico sea precoz, de la técnica quirúrgica, del seguimiento a largo plazo y de la rehabilitación (10). Los mejores resultados se obtienen en las CC operadas dentro de las seis primeras semanas de vida (de ahí la gran importancia del diagnóstico prenatal) dado que la deprivación visual tiene un importante papel en la fijación, y si no se trata se producirá ambliopía.…”

Section: Figuraunclassified

Diagnóstico prenatal de catarata congénita

Allué

Cornudella

Grijalba

et al. 2013

Rev. chil. obstet. ginecol.

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RESUMENLa catarata congénita (CC) es una patología poco frecuente en nuestro medio frente a los países en desarrollo donde constituye la etiología más frecuente de ceguera infantil. La prevención de deterioro visual debido a esta patología es parte del programa de la OMS cuyo objetivo es la eliminación de ceguera evitable en el año 2020. Presentamos el caso de una gestante en la que el diagnóstico prenatal se realizó en la ecografía morfológica. Si somos capaces de realizar este diagnóstico podremos evitar el deterioro precoz de la función visual del recién nacido. Así, la identificación de ambos cristalinos debe de formar parte de las estructuras a reconocer de forma obligada en la ecografía morfológica. PALABRAS CLAVE: Catarata congénita, diagnóstico prenatal, ecografía SUMMARYCongenital cataract is a rare disease in our environment opposite developing countries where it is the most frequent etiology of childhood blindness. Prevention of visual impairment due to this pathology is a part of the WHO programme whose objective is the elimination of avoidable blindness by the year 2020. We present the case of a pregnant woman that prenatal diagnosis was made on mid-trimester ultrasound. If we are able to perform this diagnosis, we will be able to prevent early deterioration of visual function of the newborn. Thus, identification of both crystalline should be part of the structures to recognize in the mid-trimester ultrasound. KEY WORDS: Congenital cataract, prenatal diagnosis, ultrasound INTRODUCCIÓNLa catarata congénita (CC) representa un desafío clínico, en el que el diagnóstico prenatal juega un papel importante.La CC se define como la opacidad del cristalino presente en el recién nacido o en los tres primeros meses de vida. Se estima que existen 200.000 niños ciegos por cataratas en el mundo. La prevalencia de cataratas bilaterales a la hora del nacimiento estimada en países desarrollados es de 1-3/10.000 nacimientos, siendo mayor en países en desarrollo con tasas de 15/10.000 nacimientos (1). Según su etiología la catarata congénita puede ser una de las causas de ceguera infantil tratable.El objetivo de esta comunicación es la revisión de esta patología, poco frecuente, a partir de un caso diagnosticado en nuestro servicio.

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Advances in the management of congenital and infantile cataract

Abstract: Congenital and infantile cataracts produce deprivation amblyopia and can thus cause lifelong visual impairment. Successful management is dependent on early diagnosis and referral for surgery when indicated. Accurate optical rehabilitation and postoperative supervision are essential.

Cited by 113 publications

References 69 publications

Causes of Blindness in a Special Education School

Causes of Blindness in a Special Education School

Insights into Visual Cortex Plasticity: Interaction Between Genes and Sensory Experience

Diagnóstico prenatal de catarata congénita

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