Pediatric cataract surgery in national eye centre Kaduna, Nigeria: Outcome and challenges

Umar, Murtala M; Algouti, Ahmed; Achi, I.; Alhassan, Mahmoud B; Hassan, Ali F.

doi:10.4103/0974-9233.148356

Cited by 24 publications

(25 citation statements)

References 22 publications

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“…[ 3 ] Surgery is the first-line treatment, but the outcomes of operations are poor, with numerous comorbidities and severe intraoperative and postoperative complications, such as strabismus, nystagmus, posterior capsular opacity, and glaucoma. [ 4 , 5 ] Furthermore, appropriate and timely treatment was restricted to developed areas due to the lack of equipment, techniques, and strategic guidance from the Ministry of Health, as well as to the lack of funding in poor regions.…”

Section: Introductionmentioning

confidence: 99%

10-Year Overview of the Hospital-Based Prevalence and Treatment of Congenital Cataracts: The CCPMOH Experience

et al. 2015

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A review of 6 years of hospitalization charts from Zhongshan Ophthalmic Center (ZOC) revealed that congenital cataracts (CC) accounted for 2.39% of all cataract in-patient cases and that the age at surgery was decreasing before the establishment of the Childhood Cataract Program of the Chinese Ministry of Health (CCPMOH) in December 2010. We aimed to investigate data from the 4 years (January 2011 to December 2014) following the establishment of the CCPMOH, compared, and combined with data from the previous study period (January 2005 to December 2010) to generate a 10-year overview of the hospital-based prevalence and treatment of CC. In the 4-year period after CCPMOH establishment, the prevalence of CC was 2.01% in all hospitalizations, and was 2.78% in all cataract in-patients. Most of the eligible CC in-patients (71%) lived in south China. The ratio of boys to girls was 1.42:1. Nearly 2/3 of the patients underwent cataract extraction with primary intraocular lens (IOL) implantation at a mean age of 78.40±51.45 months, and cataract extraction surgeries without IOL implantation were performed in the remaining 1/3 of patients at a mean age of 10.03±15.92 months. After CCPMOH establishment, an increased incidence of CC was revealed, and the CC in-patients were younger than the patients in the previous period. The 10-year overview (2421 CC in-patients from 206630 hospitalizations) revealed upward trends in both the number and the prevalence of CC and a further reduction in age at surgery. In conclusion, the data from 4-year period after CCPMOH establishment and the 10-year overview showed upward trends in the hospital-based prevalence of CC cases and a further reduction in age at surgery, likely reflecting the effects of the CCPMOH establishment and providing useful information for further CC studies and a valuable foundation for the prevention and treatment of this cause of childhood blindness.

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Section: Introductionmentioning

confidence: 99%

10-Year Overview of the Hospital-Based Prevalence and Treatment of Congenital Cataracts: The CCPMOH Experience

et al. 2015

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“…In children, the most common cause of blindness is cataract 4,12 . Approximately 5-20% of childhood blindness is attributable to pediatric cataracts worldwide 6 .…”

Section: Discussionmentioning

confidence: 99%

“…The estimated prevalence of blindness in Pakistani children is 10 per 10,000 3 . Studies have shown that majority of causes of childhood blindness are either preventable or treatable 4 . Cataract, among them, remains the leading treatable cause of childhood blindness 5,6 .…”

Section: Introductionmentioning

confidence: 99%

“…Unlike adult cataract, the management of cataract in children involves not only extraction of cataract and implantation of intraocular lens but also includes postoperative refractive error correction and amblyopia therapy for which regular long term follow up is required [8][9][10][11] . Delay at presentation and loss to follow up due to lack of awareness and other socioeconomic factors are major hurdles in visual rehabilitation of children with cataracts 4 . This retrospective study reviews the preoperative presentations, procedures done and the postoperative outcomes of pediatric cataract surgery at Jinnah Postgraduate Medical Center, Karachi.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Cataract Audit at a Tertiary Care Center in Karachi

Chaudhry¹,

Khan²,

Dembra³

et al. 2020

pak J Ophthalmol

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Purpose: To perform pediatric cataract surgery audit at a tertiary care center in Karachi. Study Design: Descriptive observational study. Place and Duration of Study: From January, 2016 to July, 2018 at Ophthalmology Department of Jinnah Postgraduate Medical Center, Karachi. Material and Methods: All patients with congenital cataract were included in study regardless of presence or absence of systemic association. Patients who were lost to follow up at three months were excluded from the study. Hospital records were reviewed retrospectively and data on patient demographics, preoperative presentations, intraoperative complications and postoperative visual outcomes was documented on predesigned proformas. All patients underwent lens aspiration, posterior capsulotomy and anterior vitrectomy. Surgeries were performed under general anesthesia. Preoperative and postoperative visual acuity was assessed with ability to fix and follow light/objects, Kay picture test and Snellen’s chart according to patient’s age. Results: Three hundred and twenty six eyes underwent surgery for congenital cataract and sixty for traumatic cataract. Number of male patients was 54.93% and female was 45.07%. The average age of patients with congenital cataract was 5.01 years and that for traumatic cataract was 7.8 years. Amblyopia, nystagmus and strabismus were the commonest ocular comorbidities. Uncorrected visual acuity ranged from 6/18 to light perception preoperatively. Postoperatively 55% children with congenital cataract and 15% children with traumatic cataract had visual acuity better than 6/24. Conclusion: Early surgery in congenital cataract gives good visual outcomes. In traumatic cataract extraction, the final visual outcome depends on other effects of trauma on ocular structures.

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“…Similar to other studies in the same region, males presented more than females to take up eye surgery. [ 9 ] This is probably for the reason of a higher societal value for the male child. However, the outcome of VA did not differ between the genders.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Public Child Eye Health Tertiary Facility for Pediatric Cataract in Southern Nigeria I: Visual Acuity Outcome

Duke

Adio

Oparah

et al. 2016

TOOPHTJ

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Purpose:A retrospective study of the outcome of congenital and developmental cataract surgery was conducted in a public child eye health tertiary facility in children <16 years of age in Southern Nigeria, as part of an evaluation.Materials and Method:Manual Small Incision Cataract Surgery with or without anterior vitrectomy was performed. The outcome measures were visual acuity (VA) and change (gain) in visual acuity. The age of the child at onset, duration of delay in presentation, ocular co-morbidity, non ocular co-morbidity, gender, and pre operative visual acuity were matched with postoperative visual acuity. A total of 66 children were studied for a period of six weeks following surgery.Results:Forty eight (72.7%) children had bilateral congenital cataracts and 18 (27.3%) children had bilateral developmental cataracts. There were 38(57.6%) males and 28 (42.4%) females in the study. Thirty Five (53%) children had good visual outcome (normal vision range 6/6/ -6/18) post-operatively. The number of children with blindness (vision <3/60) decreased from 61 (92.4%) pre-operatively to 4 (6.1%) post-operatively. Post operative complication occurred in 6.8% of cases six week after surgery. Delayed presentation had an inverse relationship with change (gain) in visual acuity (r = - 0.342; p-value = 0.005). Pre-operative visual acuity had a positive relationship with post operative change (gain) in visual acuity (r = 0.618; p-value = 0.000).Conclusion: Predictors of change in visual acuity in our study were; delayed presentation and pre-operative VA. Cataract surgery in children showed clinical benefit.

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Pediatric cataract surgery in national eye centre Kaduna, Nigeria: Outcome and challenges

Cited by 24 publications

References 22 publications

10-Year Overview of the Hospital-Based Prevalence and Treatment of Congenital Cataracts: The CCPMOH Experience

10-Year Overview of the Hospital-Based Prevalence and Treatment of Congenital Cataracts: The CCPMOH Experience

Pediatric Cataract Audit at a Tertiary Care Center in Karachi

Evaluation of a Public Child Eye Health Tertiary Facility for Pediatric Cataract in Southern Nigeria I: Visual Acuity Outcome

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