Delayed Presentation of Cataracts in Children: Are they Worth Operating Upon?

Gogate, Parikshit; Khandekar, Rajiv; Shrishrimal, Meghna; Dole, Kuldeep; Taras, Sudhir; Kulkarni, Sucheta; Ranade, Satish; Deshpande, Madan

doi:10.3109/09286580903450338

Cited by 31 publications

(39 citation statements)

References 19 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is notable in the context of the high drop-out rates previous studies 18–20 have reported when following patients treated for long-standing cataracts. There was significant improvement in BCVA at 6 months follow-up for a majority of the children.…”

Section: Discussionmentioning

confidence: 76%

“…Some studies suggest poor visual outcomes in children with bilateral congenital cataracts even with a delay of just a little over 1 year. 17 On the other hand, studies from western India, 18 Nepal 19 and Tanzania 20 report visual improvement in cases of delayed cataract treatment. Some of the apparent contradictions across these studies stem from their small sample sizes, variable definitions of `delay' and the inclusion of both early and late-onset cataracts.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Results of late surgical intervention in children with early-onset bilateral cataracts

et al. 2014

View full text Add to dashboard Cite

Background Cataracts are a major cause of childhood blindness globally. Although surgically treatable, it is unclear whether children would benefit from such interventions beyond the first few years of life, which are believed to constitute `critical' periods for visual development. Aims To study visual acuity outcomes after late treatment of early-onset cataracts and also to determine whether there are longitudinal changes in postoperative acuity. Methods We identified 53 children with dense cataracts with an onset within the first half-year after birth through a survey of over 20 000 rural children in India. All had accompanying nystagmus and were older than 8 years of age at the time of treatment. They underwent bilateral cataract surgery and intraocular lens implantation. We then assessed their best-corrected visual acuity 6 weeks and 6 months after surgery. Results 48 children from the pool of 53 showed improvement in their visual acuity after surgery. Our longitudinal assessments demonstrated further improvements in visual acuity for the majority of these children proceeding from the 6-week to 6-month assessment. Interestingly, older children in our subject pool did not differ significantly from the younger ones in the extent of improvement they exhibit. Conclusions and relevance Our results demonstrate that not only can significant vision be acquired until late in childhood, but that neural processes underlying even basic aspects of vision like resolution acuity remain malleable until at least adolescence. These data argue for the provision of cataract treatment to all children, irrespective of their age.

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Results of late surgical intervention in children with early-onset bilateral cataracts

et al. 2014

View full text Add to dashboard Cite

show abstract

“…However, following the intervention, the child can utilize the residual vision and use low vision aids to improve his/her quality-of-life 46. As a result, for disabled children especially in Group 3 countries, maximum efforts should be dedicated to allocate proper resources in identifying treatable blindness even if such conditions present in the late stages or are initially detected at an older age.…”

Section: Measures To Address the Problemmentioning

confidence: 99%

The Status of Childhood Blindness and Functional Low Vision in the Eastern Mediterranean Region in 2012

Khandekar

Kishore

Mansu³

et al. 2014

Middle East Afr J Ophthalmol

Self Cite

View full text Add to dashboard Cite

Childhood blindness and visual impairment (CBVI) are major disabilities that compromise the normal development of children. Health resources and practices to prevent CBVI are suboptimal in most countries in the Eastern Mediterranean Region (EMR). We reviewed the magnitude and the etiologies of childhood visual disabilities based on the estimates using socioeconomic proxy indicators such as gross domestic product (GDP) per capita and <5-year mortality rates. The result of these findings will facilitate novel concepts in addressing and developing services to effectively reduce CBVI in this region. The current study determined the rates of bilateral blindness (defined as Best corrected visual acuity(BCVA)) less than 3/60 in the better eye or a visual field of 10° surrounding central fixation) and functional low vision (FLV) (visual impairment for which no treatment or refractive correction can improve the vision up to >6/18 in a better eye) in children <15 years old. We used the 2011 population projections, <5-year mortality rates and GDP per capita of 23 countries (collectively grouped as EMR). Based on the GDP, we divided the countries into three groups; high, middle- and low-income nations. By applying the bilateral blindness and FLV rates to high, middle- and low-income countries from the global literature to the population of children <15 years, we estimated that there could be 238,500 children with bilateral blindness (rate 1.2/1,000) in the region. In addition, there could be approximately 417,725 children with FLV (rate of 2.1/1,000) in the region. The causes of visual disability in the three groups are also discussed based on the available data. As our estimates are based on hospital and blind school studies in the past, they could have serious limitations for projecting the present magnitude and causes of visual disabilities in children of EMR. An effective approach to eye health care and screening for children within primary health care and with the available resources are discussed. The objectives, strategies, and operating procedures for child eye-care are presented. Variables impacting proper screening are discussed. To reach the targets, we recommend urgent implementation of new approaches to low vision and rehabilitation of children.

show abstract

“…29 On the other hand, studies from western India, 30 Nepal, 31 and Tanzania, 32 report visual improvement in cases of delayed cataract treatment. Some of the apparent contradictions across these studies stem from their small sample sizes, variable definitions of 'delay' and the inclusion of both early and late-onset cataracts.…”

Section: Discussionmentioning

confidence: 99%

Visual Recovery After Surgical Treatment in Children With Bilateral Congenital Cataract

Raman¹,

A²,

Priyanka³

et al. 2015

jemds

View full text Add to dashboard Cite

Delayed Presentation of Cataracts in Children: Are they Worth Operating Upon?

Abstract: Surgery for cataracts with delayed presentation helps to regain functional vision, which can be used for navigation and low vision aids.

Cited by 31 publications

References 19 publications

Results of late surgical intervention in children with early-onset bilateral cataracts

Results of late surgical intervention in children with early-onset bilateral cataracts

The Status of Childhood Blindness and Functional Low Vision in the Eastern Mediterranean Region in 2012

Visual Recovery After Surgical Treatment in Children With Bilateral Congenital Cataract

Contact Info

Product

Resources

About