Catarata pediátrica en un país en vías de desarrollo: revisión retrospectiva de 328 casos

Zimmermann-Paiz, Martin A.; Quiroga-Reyes, Carlos R

doi:10.1590/s0004-27492011000300003

Cited by 16 publications

(7 citation statements)

References 17 publications

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“…While almost equal prevalence is reported for unilateral 48.8% (160/328) and bilateral cataracts 51.2% (168/328) from Guatemala City, Republic of Guatemala for the period from 2000 to 2007 by Zimmermann-Paiz & Quiroga-Reyes. 14 Higher prevalence of unilateral cataracts in our study can be explained by the fact that 20 out of 47 cases were traumatic in origin and traumatic cases are almost always unilateral.…”

Section: Descriptive Statistics and Estimation Of Parametermentioning

confidence: 52%

“…The following authors have reported higher prevalence for unilateral than bilateral pediatric cataracts. 14 In a study for the period from 1985-1990, by Hochstrasser, et al 15 from Zürich, Switzerland, congenital/ developmental cataracts were found in 60% (45/75) cases while traumatic cataracts were found in 40% (30/75) cases. Johar, et al 16 Assuming 30% population of children, our reference population will be approximately 450,000.…”

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confidence: 99%

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Distribution of Pediatric Cataracts by Sex, Age Groups, Laterality, Type and Presentation in Population of D.I.KHAN District, Pakistan

Khalid¹,

Ahamad²,

Khan³

et al. 2019

GJMS

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Background: Pediatric cataracts cause significant visual disability worldwide. The objectives of this study were to determine the distribution of pediatric cataracts by sex, age groups, laterality, type and presentation in population of D.I.Khan District, Pakistan. Materials & Methods: This descriptive study was carried out at Department of Ophthalmology, Gomal Medical College, D.I.Khan, Pakistan from January 2015 to December 2015. Sample was collected from Eye unit, DHQ Teaching Hospital, D.I.Khan. Pediatric cataract patients under 14 years of age were included in the study. Demographic variables were sex and age groups. Research variables were laterality, type and presentation. All variables being nominal were analyzed through frequency and percentages. The observed and expected distribution of pediatric cataract by sex, age groups, laterality, type and presentation were respectively tested by chi-square goodness of fit test. Results: Out of a sample of 47 patients, 29 (61.7%) were boys and 18 (38.3%) girls, 22 (46.81%) were <5 years and 25 (53.19%) 5-14 years of age. Thirty three (70.21%) had unilateral and 14 (29.79%) bilateral cataracts. Type was congenital/ developmental in 27 (57.45%) patients and traumatic in 20 (42.55%). Presentation was by defective vision in 23 (48.94%), leukocoria 14 (29.79%), strabismus 7 (14.89%) and screening in 3 (6.38%) cases. The observed distribution of pediatric cataract by sex (p=.0158), age groups (p=.00002), laterality (p=<.00001) and type (p=<.00001) was similar to expected, while for presentation, it was different than expected (p=.1033). Conclusion: The prevalence of pediatric cataract was higher for boys than girls and higher for older children (5-14 years) than younger (<5 years) children. Unilateral were more common than bilateral cataracts and the congenital/ developmental were more common than traumatic cataracts. Defective vision was the most common presentation of pediatric cataracts.

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Section: Descriptive Statistics and Estimation Of Parametermentioning

confidence: 52%

mentioning

confidence: 99%

Distribution of Pediatric Cataracts by Sex, Age Groups, Laterality, Type and Presentation in Population of D.I.KHAN District, Pakistan

Khalid¹,

Ahamad²,

Khan³

et al. 2019

GJMS

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“…A retrospective review performed in Guatemala in 2011 of 328 cases of congenital (44.2%) and acquired (55.8%) cataracts in children 0-14 years of age found that the mean age of diagnosis for congenital cataract was 34.9 months, and treatment was not pursued in 71% of these cases. 53 There are no red reflex screening programs for newborns. Pediatric cataract surgeries are performed by ophthalmologists trained in pediatric surgery at hospital referral centers or by physicians volunteering for private organizations providing mobile eye services to underserved populations in Central America.…”

Section: Results: Regional Challengesmentioning

confidence: 99%

Global challenges in the management of congenital cataract: proceedings of the 4th International Congenital Cataract Symposium held on March 7, 2014, New York, New York

Lenhart

Courtright

Wilson

et al. 2015

Journal of American Association for Pediatric Ophthalmology and

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Summary Childhood cataracts have become a leading cause of preventable childhood blindness in many areas of the world. Here we summarize regional focus group discussions from the 4th Annual International Congenital Cataract Symposium on the current situation, challenges, and recommendations for the management of congenital cataracts in sub-Saharan Africa, the Middle East and North Africa, South Asia, Central America, South America, and developed nations. Strategies for managing congenital cataracts must be adapted and developed according to regional conditions. A basic framework for acceptable outcomes must focus on developing systems to address the critical components of education, access, quality care, and good follow-up.

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“…En los pacientes con seguimiento a 3 años, la única complicación observada en nuestra serie fue glaucoma (2 pacientes), siendo esta incidencia menor a lo reportado previamente (17-58,7%) 17,24,26 . Dado que fue realizada una capsulotomia posterior y vitrectomía anterior como parte de la técnica quirúrgica, no se observó opacidad de cápsula posterior como complicación, a diferencia de otros estudios que reportan una incidencia del 30,9% 26 .…”

Section: Discussionunclassified

Caracterización de catarata congénita y resultado visual postoperatorio en una Unidad de Oftalmología Pediátrica en un país de ingresos medios

et al. 2022

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El resultado visual funcional posterior a una cirugía de catarata es influenciado por varios factores como la edad del diagnóstico, el tratamiento quirúrgico y la rehabilitación visual. Objetivo: Describir las características demográficas y clínicas de pacientes con catarata congénita y conocer el resultado visual postoperatorio en un centro de atención oftalmológico en Guatemala. Pacientes y Método: Estudio transversal y retrospectivo. Se revisaron expedientes clínicos de todos los pacientes operados de catarata congénita en los años 2014 y 2015. Se registró la agudeza visual posoperatoria, edad del diagnóstico y cirugía, sexo, lateralidad, etiología y morfología de la catarata, factores de mal pronóstico visual preoperatorios y seguimiento posoperatorio. Resultados: Cincuenta y nueve pacientes fueron operados de catarata pediátrica en este período, con edades entre 1 mes a 13 años (mediana 48 meses) siendo 23 de etiología congénita (38.98%) incluidos para este estudio. De estos, 14 eran de sexo masculino, 16 bilaterales, la edad mediana del diagnóstico y de cirugía fue de 7 y 12 meses respectivamente. Sólo 13 pacientes cumplieron seguimiento postoperatorio a los 3 años. Se logró cuantificar la agudeza visual a los 3 años postoperatorios en 11 pacientes y 8 obtuvieron una clasificación de impedimento visual o peor. El 82.6% fueron consultas tardías (mayores a 3 meses de edad). Conclusiones: El diagnóstico de catarata congénita y su tratamiento quirúrgico fueron tardíos en esta serie. El abandono del seguimiento posoperatorio es alto. El resultado visual a los 3 años postoperatorios en su mayoría es de impedimento visual o peor.

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Catarata pediátrica en un país en vías de desarrollo: revisión retrospectiva de 328 casos

Cited by 16 publications

References 17 publications

Distribution of Pediatric Cataracts by Sex, Age Groups, Laterality, Type and Presentation in Population of D.I.KHAN District, Pakistan

Distribution of Pediatric Cataracts by Sex, Age Groups, Laterality, Type and Presentation in Population of D.I.KHAN District, Pakistan

Global challenges in the management of congenital cataract: proceedings of the 4th International Congenital Cataract Symposium held on March 7, 2014, New York, New York

Caracterización de catarata congénita y resultado visual postoperatorio en una Unidad de Oftalmología Pediátrica en un país de ingresos medios

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