Introduction: pediatric cataracts are rare, but challenging. Diagnosis delay and prompt treatment of this condition can lead to significant visual loss. The aim of the study was to evaluate the visual recovery after pediatric cataract surgery. Methods: a retrospective, descriptive, observational study was conducted at the Octavio de la Concepción de la Pedraja Children's Hospital, from January 2016 to December 2022. This included a sample of 65 eyes, corresponding to 52 patients. The following variables were evaluated: age, sex, etiology, poor preoperative visual prognostic factors, preoperative and postoperative visual acuity, as well as complications. Results: The age group 5 to 9 years predominated with 34.6% and the male sex with 78.8%. Congenital etiology represented 60% and the most relevant poor preoperative visual prognostic factors were strabismus (16.9%) and other ocular anomalies (20%). Preoperative visual acuity of light perception at 0.2 was present in 69.2% and postoperative visual acuity between 0.6 and 1.0 was obtained in 58.5%, reaching the vision unit 32.3% of the cases. The most common complication was posterior capsule opacity in 32.3%, and glaucoma was present in 4.6%. Conclusions: strabismus and other ocular anomalies that may negatively influence the final visual outcome after pediatric cataract surgery. However, good results are obtained with early diagnosis and timely treatment. Minimal incision has proven to be one of the most advantageous techniques in pediatric patients and additional procedures such as pupilloplasty may be necessary. Prevention and management of complications are also vital for a successful visual recovery.
| Published in | American Journal of Applied Scientific Research (Volume 9, Issue 3) |
| DOI | 10.11648/j.ajasr.20230903.12 |
| Page(s) | 90-96 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Pediatric Cataract, Cataract Surgery, Visual Acuity, Visual Rehabilitation
| [1] | Lei Gao, Yang Gao, Fengrong Hong, Peng Zhang & Xiangwen Shu. (2021). Assessment of Foveal Avascular Zone and Macular Vascular Plexus Density in Children with Unilateral Amblyopia: A Systemic Review and Meta-Analysis. Frontiers in Pediatrics (9). https://doi.org/10.3389/fped.2021.620565 |
| [2] | Evelyn del Busto Wilhelm, Martin Arturo Zimmermann Paiz, Ana Marissa Ordóñez Rivas, Nancy Carolina Quezada del Cid, Verónica Yaneth Burgos Elías & Nora Lucía Oliva Castillo. (2022). Characterization of congenital cataract and postoperative visual outcome in a Pediatric Ophthalmology Unit in a middle-income country. Andes pediatrica 93 (4). http://dx.doi.org/10.32641/andespediatr.v93i4.3875. |
| [3] | J. E. Self, R. Taylor, A. L. Solebo, S. Biswas, M. Parulekar, A. Dev Borman, J. Ashworth, R. McClenaghan, J. Abbott, E. O’Flynn, D. Hildebrand & I. C. Lloyd. (2020). Cataract management in children: a review of the literature and current practice across five large UK centres. Eye (34). doi: https://doi.org/10.1038/s41433-020-1115-6. |
| [4] | Marilú Anahí Guido Jiménez, José Fernando Pérez Pérez & María Estela Arroyo Yllanes. (2017). Strabismus in the patient with congenital cataracts: Clinical features. Mexican Journal of Ophthalmology 91 (3). http://dx.doi.org/10.1016/j.mexoft.2016.04.011 |
| [5] | Lizbeth Uribe-Campos, Leticia Arroyo-Muñoz, Mario Mandujano-Valdés, Hortensia Moreno-Macías, Juan C. Zenteno-Ruíz, Roxana Muñoz-Hernández & Carmen Sánchez. (2018). Bilateral Congenital Cataract: Deprivation Amblyopia and its relation to development. Mexican Journal of Ophthalmology. 92 (4). doi10.24875/RMO.M18000030. |
| [6] | Sudarshan Khokhar, Abhidnya Surve, Saurabh Verma, Shorya Azad, Parijat Chandra, Chirakshi Dhull & Rajpal Vohra. (2022). Cataract in retinopathy of prematurity – A review. Indian Journal of Ophthalmology. 70 (2). doi: 10.4103/ijo.IJO_125_21. |
| [7] | Santhan KS Gopal, Jai Kelkar, Aditya Kelkar & Abhishek. (2019). Simplified updates on the pathophysiology and recent development in the treatment of amblyopia: A review. Indian Journal of Ophthalmology (67). doi: 10.4103/ijo.IJO_11_19. PMID: 31436180; PMCID: PMC6727694. |
| [8] | Mehrdad Mohammadpour, Amirreza Shaabani, Alireza Sahraian, Bita Momenaei, Fereshteh Tayebi, Reza Bayat & Reza Mirshahi (2019). Updates on managements of pediatric cataract. Journal of Current Ophthalmology (31). https://doi.org/10.1016/j.joco.2018.11.005 |
| [9] | Fabiola Jerez Carvajal, Alberto Ehrler & Iván Espinoza. (2019). Visual results of cataract surgery in children at Hospital san Felipe January 2001-january 2017. Acta Pediátrica Hondureña 10 (1). http://www.bvs.hn/APH/pdf/APHVol10/pdf/APHVol10-1-2019-4.pdf |
| [10] | Ying-Bin Xie, Mei-Yu Ren, Qi Wang & Li-Hua Wang (2018). Intraocular lens optic capture in pediatric cataract surgery. International Journal of Ophthalmology (11). doi: 10.18240/ijo.2018.08.24. PMID: 30140648; PMCID: PMC6090124. |
| [11] | Natalia Rebottaro, Sandra Díaz, Carolina José, José Marmo, María Medina, Agustín Bernatzky, Ernesto Goldschmidt & Juan Pablo Berazategui. (2022). Congenital bilateral cataract in a newborn with Down syndrome. Archivos de Pediatría del Uruguay. 93 (2). https://doi.org/10.31134/AP.93.2.24 |
| [12] | Verónica Y. Burgos-Elías, Ma. José Marroquín-Sarti, Martin A. Zimmermann-Paiz, Ana Marissa Ordoñez Rivas & Nancy C. Quezada-del Cid. (2018). Surgery of traumatic cataract in pediatric patients. Archivos argentinos de pediatría. 116 (3). doi: 10.5546/aap.2018.216. |
| [13] | Raed Shatnawi, Motasem Al-Latayfeh & Mohammad Abu-Ain. (2021). Cataract Surgery: A Retrospective Analysis of 62 Patients in a Developing Country. Computational and Mathematical Methods in Medicine. https://doi.org/10.1155/2021/6431276 |
| [14] | S Louison, J Blan, C Pallot, S Alassane, A Praudel & A-M Bron. (2019). Visual outcomes and complications of congenital cataract surgery. Journal francais d’ophtalmologie. 42 (4). https://doi.org/10.1016/j.jfo.2018.10.007 |
| [15] | Aslihan Uzun & Huban Atilla. (2020). Surgical outcomes of nontraumatic pediatric cataracts. Journal of Ophthalmology 10 (2). doi: 10.4236/ojoph.2020.102013. |
| [16] | Yooyeon Park, Hae Ri Yum, Sun Young Shin, Shin Hae Park. (2022). Ocular biometric changes following unilateral cataract surgery in children. Myopic shift in unilateral pseudophakia. Plos One. https//doi.org/10.1371/journal.pone.0272369. |
| [17] | Katarzyna Nowomiejska, Dariusz Haszcz, Katarzyna Adamczyk, Agnieszka Brzozowska, Vincenza Bonfiglio, Mario Damiano Toro & Robert Rejdak. (2022). Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage. Journal of Clinical Medicine (11). doi: 10.3390/jcm11113177. |
| [18] | Jacqueline Machin Pérez, Tania M. Fernández Domínguez, Josefina Chang Velázquez, Grester A. Pineda Durán, Daniuby Pérez Aguedo & Yadelín Escalona Almarales. (2018) Minor Incision pediatric cataract surgery. CCM 22 (4). https://www.medigraphic.com/pdfs/correo/ccm-2018/ccm184h.pdf |
| [19] | Pradhnya Sen, KritiChandra, Elesh Jain, Alok Sen, Amit Kumar, Amit Mohan & Chintan Shah. (2020). Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age. Indian Journal of Ophthalmology. 68 (3). doi: 10.4103/ijo.IJO_1138_19. |
| [20] | Deborah K. VanderVeen & Lorri B. Wilson. (2022). Congenital and childhood cataracts. In: Albert, D. M., Miller J. W., Azar D. T., Young L. H. (eds) Albert and Jakobic´s Principle and practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_278 |
| [21] | Zuhui Zhang, Yana Fu, Jiajun Wang, Xinpei Ji, Zhangliang Li, Yinying Zhao, Pingjun Chang & Yun e Zhao. (2022). Glaucoma and risk factors three years after congenital cataract surgery. BMC Ophthalmology (22). https://doi.org/10.1186/s12886-022-02343-9 |
| [22] | Sooyeon Choe, Ahnul Ha, Sung Uk Baek, Jin-Soo Kim & Young Kook Kim. (2022). Incidence and risk factors of glaucoma after surgery for congenital cataract diagnosed. Protocol for KoNEC Study Protocol for Korean Nationwide Epidemiological Study for Childhood Glaucoma (KoNEC). Plos One. https://doi.org/10.1371 /journal.pone.0264020 |
APA Style
Jacqueline Machin Perez, Tania Milagros Fernandez Dominguez, Grester Anais Pineda Duran, Yenny Perez Recio, Lianne Morales Cardenas, et al. (2023). Successful Visual Recovery: A Challenge to Overcome After Pediatric Cataract Surgery. American Journal of Applied Scientific Research, 9(3), 90-96. https://doi.org/10.11648/j.ajasr.20230903.12
ACS Style
Jacqueline Machin Perez; Tania Milagros Fernandez Dominguez; Grester Anais Pineda Duran; Yenny Perez Recio; Lianne Morales Cardenas, et al. Successful Visual Recovery: A Challenge to Overcome After Pediatric Cataract Surgery. Am. J. Appl. Sci. Res. 2023, 9(3), 90-96. doi: 10.11648/j.ajasr.20230903.12
AMA Style
Jacqueline Machin Perez, Tania Milagros Fernandez Dominguez, Grester Anais Pineda Duran, Yenny Perez Recio, Lianne Morales Cardenas, et al. Successful Visual Recovery: A Challenge to Overcome After Pediatric Cataract Surgery. Am J Appl Sci Res. 2023;9(3):90-96. doi: 10.11648/j.ajasr.20230903.12
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Download@article{10.11648/j.ajasr.20230903.12,
author = {Jacqueline Machin Perez and Tania Milagros Fernandez Dominguez and Grester Anais Pineda Duran and Yenny Perez Recio and Lianne Morales Cardenas and Daniuby Perez Aguedo and Yuleika Nunez Rojas and Eri Sanchez Lopez},
title = {Successful Visual Recovery: A Challenge to Overcome After Pediatric Cataract Surgery},
journal = {American Journal of Applied Scientific Research},
volume = {9},
number = {3},
pages = {90-96},
doi = {10.11648/j.ajasr.20230903.12},
url = {https://doi.org/10.11648/j.ajasr.20230903.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajasr.20230903.12},
abstract = {Introduction: pediatric cataracts are rare, but challenging. Diagnosis delay and prompt treatment of this condition can lead to significant visual loss. The aim of the study was to evaluate the visual recovery after pediatric cataract surgery. Methods: a retrospective, descriptive, observational study was conducted at the Octavio de la Concepción de la Pedraja Children's Hospital, from January 2016 to December 2022. This included a sample of 65 eyes, corresponding to 52 patients. The following variables were evaluated: age, sex, etiology, poor preoperative visual prognostic factors, preoperative and postoperative visual acuity, as well as complications. Results: The age group 5 to 9 years predominated with 34.6% and the male sex with 78.8%. Congenital etiology represented 60% and the most relevant poor preoperative visual prognostic factors were strabismus (16.9%) and other ocular anomalies (20%). Preoperative visual acuity of light perception at 0.2 was present in 69.2% and postoperative visual acuity between 0.6 and 1.0 was obtained in 58.5%, reaching the vision unit 32.3% of the cases. The most common complication was posterior capsule opacity in 32.3%, and glaucoma was present in 4.6%. Conclusions: strabismus and other ocular anomalies that may negatively influence the final visual outcome after pediatric cataract surgery. However, good results are obtained with early diagnosis and timely treatment. Minimal incision has proven to be one of the most advantageous techniques in pediatric patients and additional procedures such as pupilloplasty may be necessary. Prevention and management of complications are also vital for a successful visual recovery.},
year = {2023}
}
TY - JOUR T1 - Successful Visual Recovery: A Challenge to Overcome After Pediatric Cataract Surgery AU - Jacqueline Machin Perez AU - Tania Milagros Fernandez Dominguez AU - Grester Anais Pineda Duran AU - Yenny Perez Recio AU - Lianne Morales Cardenas AU - Daniuby Perez Aguedo AU - Yuleika Nunez Rojas AU - Eri Sanchez Lopez Y1 - 2023/07/13 PY - 2023 N1 - https://doi.org/10.11648/j.ajasr.20230903.12 DO - 10.11648/j.ajasr.20230903.12 T2 - American Journal of Applied Scientific Research JF - American Journal of Applied Scientific Research JO - American Journal of Applied Scientific Research SP - 90 EP - 96 PB - Science Publishing Group SN - 2471-9730 UR - https://doi.org/10.11648/j.ajasr.20230903.12 AB - Introduction: pediatric cataracts are rare, but challenging. Diagnosis delay and prompt treatment of this condition can lead to significant visual loss. The aim of the study was to evaluate the visual recovery after pediatric cataract surgery. Methods: a retrospective, descriptive, observational study was conducted at the Octavio de la Concepción de la Pedraja Children's Hospital, from January 2016 to December 2022. This included a sample of 65 eyes, corresponding to 52 patients. The following variables were evaluated: age, sex, etiology, poor preoperative visual prognostic factors, preoperative and postoperative visual acuity, as well as complications. Results: The age group 5 to 9 years predominated with 34.6% and the male sex with 78.8%. Congenital etiology represented 60% and the most relevant poor preoperative visual prognostic factors were strabismus (16.9%) and other ocular anomalies (20%). Preoperative visual acuity of light perception at 0.2 was present in 69.2% and postoperative visual acuity between 0.6 and 1.0 was obtained in 58.5%, reaching the vision unit 32.3% of the cases. The most common complication was posterior capsule opacity in 32.3%, and glaucoma was present in 4.6%. Conclusions: strabismus and other ocular anomalies that may negatively influence the final visual outcome after pediatric cataract surgery. However, good results are obtained with early diagnosis and timely treatment. Minimal incision has proven to be one of the most advantageous techniques in pediatric patients and additional procedures such as pupilloplasty may be necessary. Prevention and management of complications are also vital for a successful visual recovery. VL - 9 IS - 3 ER -
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