Volume : 08, Issue : 12, December – 2021
Title:
18.DIFFERENCES BETWEEN PEDIATRIC PATIENTS WITH CONGENITAL CATARACT AND THOSE WITH NON-CONGENITAL CATARACT IN SAUDI ARABIA
Authors :
Hisham Alghanmi, Abdullah Hefni, Abdullah Azouz, Hussain Iraqi,Dr. Wedad Bardisi
Abstract :
Purpose: The study aimed to determine differences in age of presentation, unilateral or bilateral disease, gender, and follow-up after surgery between patients with congenital cataract and those with non-congenital cataract.
Methods: This retrospective case series included all children aged 13 years and below, who had undergone cataract surgery between 2015 and 2020 at King Abdul Aziz University Hospital Jeddah, Kingdom of Saudi Arabia. Data were obtained from the medical records of the hospital. Data were entered into Microsoft Excel, while analysis was performed by using SPSS version 19. T-test and Pearson’s Chi square test were used to test associations where appropriate.
Results: 60 children underwent surgery during the 5-year period under review. In all, 36 (73.5%) were male. Congenital cataract was diagnosed in 68.3% and non-congenital cataract in 31.7% children. The mean age at presentation was 4.3 years (±SD 3.7) for congenital cataract and 6.4 years (±SD 3.9) for non- congenital cataract, 47 (78.3%) children underwent follow-up, while 13 (21.7%) were lost to follow-up.
Conclusions: Congenital cataract was presented at a younger age than noncongenitally cataract, most congenital cataract cases were bilateral, and gender differences were nonsignificant. In Jeddah, congenital and non-congenital cataract present at a later stage and an urgent childhood blindness program is needed and a Child Eye Health Tertiary Facility should be established to diagnose pediatric cataract as early as possible to prevent blindness and visual disability.
Keywords: congenital cataract, surgery, non-congenital cataract, ophthalmology.
Cite This Article:
Please cite this article in press Hisham Alghanmi et al, Differences Between Pediatric Patients With Congenital Cataract And Those With Non-Congenital Cataract In Saudi Arabia., Indo Am. J. P. Sci, 2021; 08(12).
Number of Downloads : 10
References:
1. Holmes JM, Leske DA, Burke JP, Hodge DO. Birth prevalence of visually significant infantile cataract in a defined U.S. population. Ophthalmic Epidemiol 2003; 10:67–74.
2. Foster A, Gilbert C, Rahi J. Epidemiology of cataract in childhood: a global perspective. J Cataract Refract Surg 1997; 23(Suppl 1):601–604.
3. Gilbert C, Foster A. Childhood blindness in the context of VISION 2020: the right to sight. Bull World Health Organ 2001; 79:227–232.
4. Rahi JS, Gilbert CE, Foster A, et al. Measuring the burden of childhood blindness. Br J Ophthalmol 1999; 83:387–388.
5. Bronsard A, Geneau R, Shirima S, et al. Why are children brought late for cataract surgery? Qualitative findings from Tanzania. Ophthalmic Epidemiol 2008; 15:383-8.
6. Tomkins O, Ben-Zion I, Moore DB, Helveston EE. Outcomes of pediatric cataract surgery at a tertiary care center in rural southern Ethiopia. Arch Ophthalmol 2011; 129(10):1293–1297.
7. Yorston D, Wood M, Foster A. Results of cataract surgery in young children in east Africa. Br J Ophthalmol 2001; 85:267–271.
8. Lloyd IC, Ashworth J, Biswas S, Abadi RV. Advances in the management of congenital and infantile cataract. Eye (Lond) 2007; 21:1301–1309.
9. Eriksen JR, Bronsard A, Mosha M, et al. Predictors of poor follow up in children that had cataract surgery. Ophthalmic Epidemiol 2006; 13:237–243.
10. Vasavada AR, Raj SM, Nihalani B. Rate of axial growth after congenital cataract surgery. Am J Ophthalmol 2004; 138(6):915–924.
11. Zhu JF, Zou HD, He XG, et al. Cross-sectional investigation of visual impairing diseases in Shanghai blind children school. Chin Med J (Engl) 2012; 125: 3654–3659.
12. You C, Wu X, Zhang Y, et al. Visual impairment and delay in presentation for surgery in Chinese pediatric patients with cataract. Ophthalmology 2011; 118:17–23.
13. Pons J. Improving patient flow through an eye clinic. Community Eye Health 2012; 25:31–33.
14. Kishiki E, Shirima S, Lewallen S, Courtright P. Improving postoperative follow-up of children receiving surgery for congenital or developmental cataracts in Africa. J AAPOS 2009; 13:280–282.
15. Kim KH, Ahn K, Chung ES, Chung TY. Clinical outcomes of surgical techniques in congenital cataracts. Korean J Ophthalmol 2008; 22:87–91.
16. Katibeh M, Eskandari A, Yaseri M, et al. The gender issue in congenital and developmental cataract surgery. J Ophthalmic Vis Res 2013; 8(4):308–313.
17. Thakur J, Reddy H, Wilson ME, et al. Pediatric cataract surgery in Nepal. J Cataract Refract Surg 2004; 30:1629–1635.
18. Khandekar R, Sudhan A, Jain BK, et al. Pediatric cataract and surgery outcomes in Central India: a hospital based study. Indian J Med Sci 2007; 61:15-22.
19. David Yorston, FRCS FRCOphth Surgery for Congenital Cataract Community Eye Health 2004; 17(50):23–25.
20. Zimmermann-Paiz MA1, Quiroga-Reyes CR. [Pediatric cataract in a developing country: retrospective review of 328 cases]. Arq Bras Oftalmol 2011; 74:163–165.
21. Perucho-martínez S, De-la-Cruz-Bertolo J, Tejada-Palacios P. Pediatric cataracts: epidemiology and diagnosis. Retrospective review of 79 cases Arch Soc Esp Oftalmol 2007; 82:37–42.
22. Rahi JS, Dezateux C. Measuring and interpreting the incidence of congenital ocular anomalies: lessons from a national study of congenital cataract in the UK. Invest Ophthalmol Vis Sci 2001; 42:1444–1448.
23. Agarwal PK, Bowman R, Courtright P. Child eye health tertiary facilities in Africa. J AAPOS 2010; 14:263–266.
24. Parks MM, Johnson DA, Reed GW. Long-term visual results and complications in children with aphakia. A function of cataract type. Ophthalmology 1993; 100:826–841.