Comprehensive Management of Congenital Cataract in Dizygotic Twin Babies

Abstract

Introduction: One of the leading causes of infant blindness is cataract. The prevalence of congenital cataract has been estimated in the range between 1 and 15 per 10.000 children globally. Congenital cataract in twin babies is a rare case. This case will report the outcome of comprehensive management of congenital cataract in dizygotic twin babies. Case presentation: Eight months old dizygotic twin babies came to our clinic with the primary complaint of whitish appearance in the pupil of both eyes since birth. They were born aterm with cesarean delivery. The birth weight was 2.700 g and 3.100 g respectively. They were the fourth and fifth children in the family. There was no family history of congenital cataract. The visual acuity of both eyes was positive response to light stimuli. The cataract was bilateral and dense on both babies. Fundus reflex and TORCH examinations were negative. Ultrasonography (USG) of the retina was normal on both babies. Conclusions: Isolated congenital cataract in twin babies is an unusual condition that should be treated comprehensively. Congenital cataract may cause deprivation amblyopia, refractive amblyopia, and permanent vision impairment. Early diagnosis and quick treatment, such as surgical timing and visual rehabilitation, are critical to perform successful management. Comprehensive care is required to monitor the visual result of cataract surgery.

The Management of ToRCH Cataract Congenital

“…The literature are assessed with CASP (Critical Appraisal Skills Program) analisys table and using a modified criteria to assess the literature qualitatively (Table 1). Afterward, the data in literatures are extracted in to the table based on the each ToRCH check up in every literature (Table 2, 3,4,5,6). The data are also extracted based on the ToRCH check up time, which are prenatal, perinatal, and postnatal.…”

“…Cataract surgery is the beginning of the treatment, because after the surgery, there will be other procedure that need to be done such as aphakia glasses usage and oclusion therapy using eye patch. 4 However, the management of TORCH congenital cataract is still rare to be done. Based on Indonesia Health Ministy Regulation (Permenkes), there are some health services which don't get any gouverment assurance, one of them is TORCH.…”