4.3 Article

Clinical characteristics of congenital and developmental cataract in Kazakhstan

Journal

INDIAN JOURNAL OF OPHTHALMOLOGY
Volume 70, Issue 12, Pages 4325-4330

Publisher

WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/ijo.IJO_939_22

Keywords

Cataract; cataract surgery; child; congenital cataract; developmental cataract

Categories

Ask authors/readers for more resources

This retrospective study aimed to analyze the clinical characteristics of congenital and developmental cataract in children. The study included 942 children over a 10-year period. The majority of patients underwent surgery after the age of 3, and white pupils were a common presenting complaint. Total cataract was the most common morphologic type, and there was a higher proportion of boys in bilateral cases. Family history, ocular dysmorphology, and coexisting systemic disease were also recorded.
Purpose: To study and describe clinical characteristics of congenital and developmental cataract at a tertiary eye care facility. Methods: In this retrospective study, 942 children (1311 eyes) presenting with congenital/developmental cataract over a 10-year study period were included. Gender, age at surgery, main presenting complaint, morphologic type of cataract, laterality, family history, and associated findings were recorded. Results: The overall proportion of boys and girls undergoing cataract surgery was approximately equal (P = 0.110). However, in the cases of bilateral cataract, the proportion of boys was larger than girls (P = 0.028). More than half (62.3%) of the patients underwent surgery at the age of >3 years. The main presenting complaint was white pupils, accounting for 48.1% of cases. Total cataract was the most common morphologic type in all age groups. In total, 133 children out of 942 (14.1%) had a positive family history of congenital/developmental cataract. Strabismus and nystagmus were seen in 27.2% and 19.3% of the eyes, respectively. Additional ocular dysmorphology was found in 97 (10.3%) of patients. Coexisting systemic disease was found in 149 (15.8%) cases. Among syndrome-associated cataracts, Down syndrome accounted for the majority of cases. Conclusion: High prevalence of total cataracts as well as frequent association with strabismus and nystagmus are likely to be the consequences of delayed presentation.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available