Delayed presentation of cataracts in children: are they worth operating upon?

Ophthalmic Epidemiology
Parikshit GogateMadan Deshpande

Abstract

Childhood cataract is an important cause of avoidable blindness in children. The study aimed to investigate the outcome of surgery in cataracts with delayed presentation which had been operated upon as new pediatric ophthalmology centers were set up in India. This was a retrospective interventional case series from a community eye care center in Western India. Demographic, surgical, pre-operative and post-operative details were obtained from the patients records and entered into Microsoft excel and statistical analysis conducted using SPSS-11 software (SPSS, Chicago, IL). Vision was tested 6 weeks after surgery. The predictors of good vision (> or =6/18) were identified by regression analysis. If the interval between detection of cataract in children and their presentation for surgery was more than 18 months for developmental and 6 months for congenital the cataract was defined having a delayed presentation. Five hundred and twenty nine eyes of 437 children aged 2 months to 16 years were operated upon in 2004-2006. Preoperative vision was <3/60 in 405 (76.6%) eyes with cataract. Of these 529, 242 eyes were with delayed presentation of cataract (83 congenital and 149 other). 102 had up to 5 years, 91 had 6-10 years and 49 had >1...Continue Reading

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Citations

Sep 5, 2012·Indian Journal of Ophthalmology·Parikshit GogateAnil Kulkarni
Jul 7, 2011·Middle East African Journal of Ophthalmology·Parikshit GogateAndrea Zin
Jun 1, 2014·The British Journal of Ophthalmology·Suma GaneshPawan Sinha
Nov 6, 2014·Middle East African Journal of Ophthalmology·Rajiv KhandekarHaroon Awan
Apr 22, 2015·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Phoebe D LenhartScott R Lambert
Jul 8, 2016·Journal of Pediatric Ophthalmology and Strabismus·Chileshe MboniLene Øverland
Aug 1, 2018·Eye·Sethu SheeladeviCatherine Suttle
Jun 11, 2020·BMJ Open Ophthalmology·Suzannah J BellAllen Foster
Aug 24, 2017·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Paolo Esposito VenerusoAdriano Magli
Apr 20, 2018·The British Journal of Ophthalmology·Mulusew AsferawSamson Tesfaye

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