Caractéristiques épidémiologiques et étiologiques de la cataracte congénitale : étude de 59 cas sur 10ans

Fakhoury, Omar; Aziz, Azliana; Matonti, F.; Benso, C.; Belahda, K.; Denis, D.

doi:10.1016/j.jfo.2014.10.012

Cited by 22 publications

(10 citation statements)

References 13 publications

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“…The prevalence of strabismus in our study was 20.6%, which was similar to 19% reported by Fakhoury et al . in France 14 , but was lower than the report of 28% by Kim et al . in Korea 15 and higher than the report of 9.5% by Lin et al .…”

Section: Discussioncontrasting

confidence: 67%

Clinical Features of Congenital and Developmental Cataract in East China: A Five-year Retrospective Review

Zhu

et al. 2017

Sci Rep

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Congenital/developmental cataract is a significant cause of blindness in children worldwide. Full knowledge of clinical features is essential for early diagnosis and proper treatment to prevent irreversible visual impairment. We conducted a retrospective chart review on 520 congenital/developmental cataract cases based on a five-year clinical data from Eye and ENT Hospital of Fudan University, Shanghai, China. Clinical features including age at the surgery, chief complaints, interval between initial identification of cataract-related manifestations and surgery, etc. were summarized. 56.3% of children were bilateral. The age at surgery ranged from 0.25 to 17.4 years, only 9.2% receiving surgery below 1 year. Interval between initial identification of manifestations and surgery ranged from 2 days to 17 years. Concomitant congenital abnormalities were present in 67 patients, with persistent hyperplastic primary vitreous and congenital heart disease as the most frequent ocular and systemic disorders. Strabismus and nystagmus were seen in 20.6% and 11.9% of patients. In bilateral cataract patients with strabismus, axial lengths of esotropia-affected eyes were statistically shorter than exotropia-affected eyes. These findings provide information on characteristics of congenital/developmental cataract in China and may assist in achievement of comprehensive treating strategies in these cases.

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Section: Discussioncontrasting

confidence: 67%

Clinical Features of Congenital and Developmental Cataract in East China: A Five-year Retrospective Review

Zhu

et al. 2017

Sci Rep

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“…The diagnosis of cataract is incidentally made on routine screening in 41% of cases whereas leukocoria and strabismus led to the diagnosis in 24% and 19%, respectively. [ 9 ]…”

Section: Epidemiologymentioning

confidence: 99%

Pediatric cataract

Khokhar

Pillay

Dhull

et al. 2017

Indian J Ophthalmol

117

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Pediatric cataract is a leading cause of childhood blindness. Untreated cataracts in children lead to tremendous social, economical, and emotional burden to the child, family, and society. Blindness related to pediatric cataract can be treated with early identification and appropriate management. Most cases are diagnosed on routine screening whereas some may be diagnosed after the parents have noticed leukocoria or strabismus. Etiology of pediatric cataract is varied and diagnosis of specific etiology aids in prognostication and effective management. Pediatric cataract surgery has evolved over years, and with improving knowledge of myopic shift and axial length growth, outcomes of these patients have become more predictable. Favorable outcomes depend not only on effective surgery, but also on meticulous postoperative care and visual rehabilitation. Hence, it is the combined effort of parents, surgeons, anesthesiologists, pediatricians, and optometrists that can make all the difference.

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“…Most of the cataracts are hereditary, where the cases of genetically based cataracts vary from 27.0%-39.0%. [9][10][11] It is reported that 190,000(14%) among 1.4 million blind children in the world are blind due to the disorders that are related to the lens; 1 million of the blind children are in Asia, and 0.3 million live in Africa, with proportions changing by country. 6,12,13 Every year, over 500,000 children grow blind.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Visual Acuity After Paediatric Cataract Surgery: A Systematic Review

Albaqami¹,

Alotaibi²,

Alrabie³

et al. 2022

PJMHS

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Background: In Saudi Arabia, cataract is considered the major cause of blindness as 55% of the total cases are caused by cataract. Moreover, 35.5% of visual loss is caused due to cataract making it the second leading cause of visual loss. Therefore, the aim of the study was to determine the outcome of visual acuity after paediatric cataract surgery. Methods: The preferred reporting items for systematic review and meta-analysis (PRISMA) were used in this systematic review. Cochrane handbook guidelines were used for all aspects of this study. It includes published and unpublished studies with different study designs. Such studies were found from databases including Google Scholar, Medline, PSYCHInfo, Embase Google, and Cochrane library, from their inception through the second week of March 2022 without any language restriction and identified all RCTs related to the results of visual acuity after Cataract Surgery in children. We used the following search keywords: ‘‘visual’’, ‘‘visual acuity’’, ‘‘cataract’’, ‘‘childhood blindness’’, ‘‘visual impairment’’, ‘‘amblyopia’’, ‘‘cataract surgery’’ and ‘‘pediatric cataract surgery’’ and ‘‘randomized controlled trial’’. In addition, we manually reviewed the references of a few journals to uncover more works that might be linked. Result: All RCTs connected to outcomes of visual acuity after pediatric cataract surgery were found using a total 376 articles from the electronic databases PubMed, Embase, PSYCHInfo, and the Cochrane Library, which were searched without language barriers from their inception. "Visual", "visual acuity", "cataract", "childhood blindness", "visual impairment", "amblyopia", "cataract surgery", and "pediatric cataract surgery" and "randomized controlled trial" were some of the search keywords. In addition, the references of a few journals were searched to find more potentially relevant studies. Due to redundancy, 92 articles were excluded from the total of 376. A total of 167 articles were reviewed, with 108 being rejected following a preliminary review. There were 59 full-text papers reviewed for eligibility, and 7 of them met the inclusion requirements, with all of the selected articles being of high quality. The parameters of the trials differed greatly in terms of treatment length and population investigated. Conclusion: According to the findings, most pediatric cataracts are inherited. Cataract extraction with Intraocular Lens (IOL) implantation with primary posterior capsulectomy and anterior vitrectomy (PPC+ AV) is the preferred method for pediatric cataract therapy. Active case discovery, parent counseling, and clear referral paths, are required to address cataract blindness. There may be a refractory surprise after the surgery in pediatric cataract instances, most often due to incorrect measuring, as the youngsters will be uncooperative for precise measurement or under the anesthetic influence. The surgery should be done in a fully equipped unit with qualified cooperative staff, and various techniques might be necessary to improve follow-up after the surgery. Keywords: visual acuity, cataract, childhood blindness, visual impairment, blindness

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Caractéristiques épidémiologiques et étiologiques de la cataracte congénitale : étude de 59 cas sur 10ans

Cited by 22 publications

References 13 publications

Clinical Features of Congenital and Developmental Cataract in East China: A Five-year Retrospective Review

Clinical Features of Congenital and Developmental Cataract in East China: A Five-year Retrospective Review

Pediatric cataract

Outcomes of Visual Acuity After Paediatric Cataract Surgery: A Systematic Review

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