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Diagnosis and management of pediatric cataract


Authors: N. Jirásková;  J. Kadlecová;  P. Rozsíval;  M. Kalfeřtová;  M. Burova
Authors place of work: Oční klinika LF UK a FN, Hradec Králové přednosta prof. MUDr. P. Rozsíval, CSc.
Published in the journal: Čes-slov Pediat 2012; 67 (Suppl 1): 25-28.
Category: Original Papers

Summary

Purpose:
To present our results of surgical management of pediatric cataract. To draw attention to seriousness of this topic, necessity of early diagnosis and comprehensive management of pediatric cataract.

Patients and methods:
The patients were divided into two groups according to the etiology of the cataract: congenital, infantile or juvenile cataract (A) and traumatic cataract (B). There were 14 children in group A (8 girls and 6 boys). Cataract was diagnosed during congenital cataract screening in newborns in one child, later during childhood (range 14–132 months, median 43 months) in 13 cases. Group B comprised of 12 children (4 girls and 8 boys). The reason for cataract was penetrating injury in 7 eyes and blunt injury in 5 eyes. All surgeries were performed by experienced surgeon in general anesthesia and were followed by visual rehabilitation and amblyopia treatment.

Results:
No serious perioperative or early postoperative complications were observed. The most common late postoperative complication was secondary cataract (posterior capsule opacification) in 15 patients. Postoperative best corrected visual acuity (BCVA) ranged from 1.0 (normal vision) to 0.002 (low vision) depending upon other ocular pathologies.

Conclusions:
Pediatric cataract remains a challenge despite of all improvements. The management plan must involve an interdisciplinary team approach.

Key words:
pediatric cataract, congenital, posttraumatic, management


Zdroje

1. Baráková D, Hložánek M. Nové postupy v léčbě dětské katarakty. In: Rozsíval P, et al. Trendy soudobé oftalmologie 5. Praha: Galén, 2008: 119–143.

2. Forbes BJ, Guo S. Update on the surgical management of pediatric cataracts. J Pediatr Ophthalmol Strabismus 2006; 43: 143–151.

3. Stoll C, Alebik Y, Dott B, Roth MP. Epidemiology of congenital eye malformations in 131,760 consecutive births. Ophthalmic Pediatr Genet 1993; 30: 433–435.

4. Wilson ME, Bluestein EC, Wang X-H. Current trends in the use of intraocular lenses in children. J Cataract Refract Surg 1994; 20: 579–583.

5. Wilson ME, Bartholomew LR, Trivedi RH. Pediatric cataract surgery and intraocular lens implantation. J Cataract Refract Surg 2003; 29: 1811–1820.

6. Kuchynka P, Továrek L. Onemocnění čočky. In: Rozsíval P, et al. Oční lékařství. Praha: Galén, 2006: 219–232.

7. Wilson ME, Trivedi RH. Choice of intraocular lens for pediatric cataract surgery: survey of AAPOS members. J Cataract Refract Surg 2007; 33: 1666–1668.

Štítky
Neonatology Paediatrics General practitioner for children and adolescents

Článok vyšiel v časopise

Czech-Slovak Pediatrics

Číslo Suppl 1

2012 Číslo Suppl 1
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