Pediatric Traumatic Cataracts at a Tertiary Eye Center in Indonesia

Memed, Feti Karfiati; Mariska, Desi; Wahyu, Maya Sari; Irfani, Irawati; Oktarima, Primawita; Caesarya, Sesy

doi:10.4236/ojoph.2020.104036

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…Penetrating or blunt ocular damage is avoidable, as is traumatized cataract. The level of damage to other ocular components must also be taken into consideration before lens extraction may increase visual acuity [37] . The most affected side was Right eye in our patients.…”

Section: Discussionmentioning

confidence: 99%

Pediatric lens trauma in Tanta University eye hospital

Hag,

Almaria,

Seht

et al. 2023

Int. J. Med. Ophthalmol.

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Background: Lens trauma is commonly found among school-children (mainly boys) aged 5-15 years. The timing of surgery is important for visual rehabilitation, it is also important to consider in a child, in whom amblyopia is a concern. Ultrasound Biomicroscopy (UBM) can be used as an effective diagnostic tool. The biometry of the anterior segment can be measured by UBM systems that encompass the entire anterior segment. This allows preoperative evaluation of the position of the sulcus plane before cataract surgery, facilitating estimation of postoperative intraocular lens position. Aim of the Work:The purpose of the current work is to investigate the causes, clinical aspects and outcome of pediatric lens trauma. Patients and Methods: This prospective, randomized study included 40 eyes of 40 patients with eye trauma coming to Tanta University Eye Hospital. During the period from September 2018 to August 2019. Their age ranged between 2 to 18 years old. All patients in this study subjected to the following: Full history taking, general examinations and precautions if polytrauma, full ophthalmic examination. Investigation were done if indicated (Orbital imaging, Ultrasound Biomicroscopy) and examination of the contralateral eye. Results: Our prospective study included 40 eyes of 40 patients with eye trauma (25 males and 15 females). The majority of our patients (67.5%) were more than 6 years. The most prevalent cause was blunt trauma which represented 62.5%. Ocular trauma in street was the most prevalent site (50%). Early detection and seeking medical advice for ocular trauma represented 62.5% of cases. Right eye was affected in 22 (55%) patients. 85% of our patients had rupture globe and 15% of patients had closed globe lesions. 70% of cases had 2 sessions of surgery. By using UBM to evaluate the cases, most of cases (42.5%) had cataract, followed by rupture of posterior capsule which was found in 8 cases. With slit lamp examination, the most prevalent status of the lens was cataract in 52% of patients, then free lens matter in anterior chamber and clear lens with the same percentage (12.5% of patients). There was a statistically significance difference between lens examination by slit lamp and UBM (P= 0.032) and there wasn't a statistically significance between AC examination by slit lamp and UBM. There wasn't a statistically significance association between the causative agents and both of the type of injury and the number of surgery sessions. Also there wasn't a statistically significance with place of trauma. While There was a statistically significance association between time of presentation and type of injury p = 0.001. Conclusion:This study reported maximum incidence of paediatric ocular trauma at school age children with blunt objects as the most common cause of injury. UBM is a very helpful tool in assessment of lens status after trauma also in decision making for surgery.

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Section: Discussionmentioning

confidence: 99%

Pediatric lens trauma in Tanta University eye hospital

Hag,

Almaria,

Seht

et al. 2023

Int. J. Med. Ophthalmol.

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“…1 It can occur spontaneously or up to years after the trauma. 8 Memed FK et al, showed that pediatric eye trauma occurred most frequently in boys. 8 In addition, a previous study by Puodziuviene E et al, also suggested that boys are more prone to eye trauma.…”

Section: Discussionmentioning

confidence: 99%

“…8 Memed FK et al, showed that pediatric eye trauma occurred most frequently in boys. 8 In addition, a previous study by Puodziuviene E et al, also suggested that boys are more prone to eye trauma. 9 The high number of cases may be due to curiosity to explore objects and activities such as sports without adult supervision, making them more vulnerable to trauma.…”

Section: Discussionmentioning

confidence: 99%

A neglected case of blunt eye injury leading to pediatric cataract: a lifetime consequence case report

Oeiyano

Mantu

Samatara³

2022

Intisari Sains Medis

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Background: A pediatric traumatic cataract is one of the children's main causes of unilateral visual impairment. It is defined as a permanent opacification of the lens caused by penetrating or blunt trauma to the eye, which might damage the vision. A traumatic pediatric cataract is preventable and treatable. This case study aims to evaluate a neglected case of blunt eye injury leading to pediatric cataracts. Case Description: A 15-year-old boy came with chief complaints of decreased visual acuity in his left eye for the last 2 years. He has a history of blunt eye injury around 3 years prior in the left eye but left untreated. The patient's visual acuity was 1 per light perception in the left eye. An ophthalmologic examination of the left eye showed an opacity in the lens. The posterior segment cannot be examined. The patient was assessed with a traumatic cataract and was planned to be operated on, but the parents refused. Conclusion: Prompt first aid and timely surgical intervention are necessary for optimal results. Parents play a critical role in the patient's prognosis by observing closely after eye trauma and bringing their children to the right medical facility.

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Importance of Early Intervention of Traumatic Cataract in Children

Gani Chowdhury,

Kumar Biswas,

Khanam

et al. 2024

International Journal of Innovative Science and Research Techno

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Aim: To evaluate the intraoperative complications & post- operative outcome of early intervention of traumatic cataract in children due to open globe injuries.  Materials and Methods: 40 cases of unilateral cataract having repair of open globe injuries previously were included in this prospective study. Primary repair of corneal injuries were done with 10-0 Nylon under general anesthesia. Secondary intervention with IOL implantation were done within 4 weeks of primary repair. Age range was 4-14 years and minimum follow up 3 months. Intraoperative and postoperative complications and final best-corrected visual outcome were recorded.  Results: All cases had pre-existing anterior capsular tear and flocculent lens matter in anterior chamber. IOL were implanted in the bag in 90% cases. Intra-operatively 4 cases revealed pre-existing posterior capsular hole and IOL were implanted in the sulcus. Synechiolysis was done in 3 cases. There was no iatrogenic PC rent. Postoperatively no cases showed synechiae formation, pupil capture and IOL displacement. Visual acuity was 6/9 to 6/60 in all cases and intraocular pressures were digitally normal. No optic atrophy and RD were noticed at last follow up. Most common causes of decreased vision were corneal scar and astigmatism.  Conclusion: Early cataract surgery with IOL implantation after repair of open globe injuries carries favorable intraoperative and postoperative outcome.

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Pediatric Traumatic Cataracts at a Tertiary Eye Center in Indonesia

Cited by 3 publications

References 16 publications

Pediatric lens trauma in Tanta University eye hospital

Pediatric lens trauma in Tanta University eye hospital

A neglected case of blunt eye injury leading to pediatric cataract: a lifetime consequence case report

Importance of Early Intervention of Traumatic Cataract in Children

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