Management and outcomes of cataract in children: The Toronto experience

Lim, Zena; Rubab, Shehla; Chan, Yiong Huak; Levin, Alex V.

doi:10.1016/j.jaapos.2011.12.158

Cited by 23 publications

(14 citation statements)

References 27 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Age at presentation has a significant effect on visual outcome (P=0.001) with better visual outcome in children more than 2 years. This is similar to other studies (Shah et al, 2012;Yang et al, 2006) while studies done by Lim Z, The Toronto Experience (Lim et al, 2012) and Tomkins et al (2011) showed no relationship between final visual acuity and age at presentation. Fifty seven percent were male (M:F=1.3:1).…”

Section: Discussionsupporting

confidence: 92%

“…Eighty percent of cases were bilateral in this study but had no significant association with visual improvement postoperatively (P=0.912) similar to Lim et al (2012) but other studies suggests that visual outcome was better in bilateral than in unilateral cases (Cassidy et al, 2001;Hochstrasser and Gloor, 1994;Shah et al, 2012). Presence of nystagmus has poor visual outcome (P=0.022) similar to other studies (Tomkins et al, 2011;Wilson et al, 2010) but Young et al (2012) and Bradford et al (1994) has suggested that its presence is not a poor prognostic factor.…”

Section: Discussionsupporting

confidence: 79%

“…Presence of strabismus has no significant correlation with visual outcome (P=0.64). Morphological forms of cataract had no significant association with visual outcome (P=0.64) but in study done by Shah et al (2012) lamellar cataract had significantly better outcome, However Lim et al (2012) found better outcome with posterior subcapsular cataract. My study did not show any correlation.…”

Section: Discussionmentioning

confidence: 84%

See 2 more Smart Citations

Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

et al. 2018

View full text Add to dashboard Cite

The World Health Organization’s (WHO) global initiative for the elimination of avoidable blindness by the year 2020 (Thylefors et al., 1995) has prioritized the control of childhood blindness. Currently cataract remains one of the most important causes of treatable blindness in children (Giles et al., 2016).In Nepal, as in other developing countries, cataract is believed to be a leading cause of blindness in children. According to The Nepal Blindness Survey from 1978 to 1980, congenital cataract accounted for 16.3% of blindness detected in children under the age of 15 years (Brilliant et al., 1985). Epidemiology of Blindness in Nepal 2012 survey has suggested that the prevalence of childhood blindness has reduced from 0.68% in 1981 to 0.4% in 2011 (Sapkota, 2012).

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 84%

See 1 more Smart Citation

Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In addition, all operations were performed by the same surgeon who used the same technique in all eyes. The narrow age range in this study (6-12 years) was an advantage to avoid variable inflammatory response between the maximum and minimum ages which could affect interpretation of our results [14]. We used the sedimentation technique reported by Garcia-Arumi et al [6] for purification of the commercially available triamcinolone acetonide.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Cataract Surgery and Intraocular Lens Implantation with and without Intracameral Triamcinolone Acetonide

Solaiman¹,

Maaly²,

Albialy³

et al. 2016

J Clin Exp Ophthalmol

View full text Add to dashboard Cite

Purpose: To evaluate the safety and efficacy of a single intracameral injection of triamcinolone acetonide in controlling postoperative ocular inflammation and improving the outcome of pediatric cataract surgery with intraocular lens implantation.Setting: Prospective interventional comparative Quasi study. Patients and methods:The study was performed on eyes of children between 6-12 years old having significant cataract and subjected to cataract extraction with primary IOL implantation. Patients were divided into two almost equal age and sex matched groups. The study group included eyes that received intracameral injection of 4 mg/0.13 ml of preservative-free triamcinolone acetonide at the end of surgery while the control group included eyes that did not receive intracameral injection of triamcinolone acetonide. Postoperative examinations were done on day 1 then weekly for 1 month, and monthly for another 2 months. Primary outcome measures included any sign of anterior segment inflammation, while secondary outcome measures included best corrected visual acuity, intraocular pressure and any reported complication caused by intracameral triamcinolone acetonide. Results:The study included 42 eyes (35 patients); 21 eyes in each group. Postoperative inflammatory membrane was statistically significant higher in the control group than in the study group (P=0.018). The mean duration of using topical steroids in the study group (17.2 ± 4.1 days) was statistically significant less than its mean duration (28.3 ± 3.4 days) in the control group (P<0.05). No statistically significant differences were detected between pre and postoperative intraocular pressure in each group and in between both groups. No significant complications related to intracameral triamcinolone acetonide were reported. Conclusion:A single intracameral injection of 4 mg preservative free triamcinolone acetonide at the end of uncomplicated pediatric cataract surgery could be an effective and safe adjunct to postoperative topical steroids in controlling postoperative ocular inflammation.

show abstract

“…В этих случаях помутнения хрусталика выявляются с рождения, и острота зрения снижается до светоощущения. Наиболее опасный период воздействия тератогенных факторов на орган зрения -2-7-я неделя беременности [4][5][6][7].…”

unclassified

The role of the pediatrician in the treatment of children with congenital cataracts

Egiyan

Катаргина

Круглова

et al. 2019

Ross. vestn. perinatol. pediatr.

View full text Add to dashboard Cite

The purpose of the report is to acquaint obstetricians-gynecologists, neonatologists and pediatricians with the etiological and clinical manifestations, tactics and results of treatment for timely diagnosis and referral to an ophthalmologist. The article presents modern data on the etiology and clinical manifestations of congenital cataracts in children, the particularities of the development of the visual analyzer. The article substantiates the need for the removal of full forms of congenital cataracts in the sensitive period of the child’s development – in the first six months of life for high functional results. The authors note an important role of the pediatrician in the early detection of pathology and timely visit to ophthalmologist to determine treatment tactics.

show abstract

Management and outcomes of cataract in children: The Toronto experience

Cited by 23 publications

References 27 publications

Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

Factors affecting the visual outcome of pediatric cataract surgery: a hospital based prospective study in eastern Nepal

Pediatric Cataract Surgery and Intraocular Lens Implantation with and without Intracameral Triamcinolone Acetonide

The role of the pediatrician in the treatment of children with congenital cataracts

Contact Info

Product

Resources

About