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Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study
PURPOSE: To demonstrate the demographic features, causative agents, and outcome of pediatric traumatic cataract surgery in eyes without posterior segment involvement at Assiut University Hospital, Upper Egypt. PATIENTS AND METHODS: This is a retrospective study on children (aged <18 years old) wh...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057834/ https://www.ncbi.nlm.nih.gov/pubmed/33888974 http://dx.doi.org/10.2147/OPTH.S282080 |
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author | Kedwany, Salma M Saleh, Mohamed G A Tohamy, Dalia Mostafa, Magdi M |
author_facet | Kedwany, Salma M Saleh, Mohamed G A Tohamy, Dalia Mostafa, Magdi M |
author_sort | Kedwany, Salma M |
collection | PubMed |
description | PURPOSE: To demonstrate the demographic features, causative agents, and outcome of pediatric traumatic cataract surgery in eyes without posterior segment involvement at Assiut University Hospital, Upper Egypt. PATIENTS AND METHODS: This is a retrospective study on children (aged <18 years old) who underwent traumatic cataract surgery from January to June 2019. Children with posterior segment injury and those who did not complete 6 months of postoperative follow-up were excluded. The demographic features, mechanism and time of eye injury, clinical features, surgical approach, and outcome were recorded and analyzed. RESULTS: The study included 34 eyes of 34 children, 23 (68%) of them were boys. The mean age at the time of cataract surgery was 10±3.97 years. Twenty-one eyes sustained open globe injury (62%) with the most common cause of trauma was wooden sticks, while 13 eyes had closed globe injury (38%) with the most common cause of injury was thrown stones. The time interval between eye injury and cataract surgery ranged from 1 day to 9 years with a median of 2.05 months. Posterior chamber intraocular lenses were implanted in all eyes; in 33 eyes, the posterior chamber intraocular lenses were implanted primarily at the time of cataract extraction. Corrected distance visual acuity significantly improved from 2.63±0.66 LogMAR preoperatively, to 0.41±0.38 LogMAR postoperatively (p < 0.001). CONCLUSION: Pediatric traumatic cataract is commonly present in primary school age especially after open globe injury. Primary prevention through health awareness should target this age population. Useful vision can be regained with timely proper surgical intervention and posterior chamber intraocular lens implantation. CLINICALTRIALS.GOV ID: NCT04630509. |
format | Online Article Text |
id | pubmed-8057834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-80578342021-04-21 Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study Kedwany, Salma M Saleh, Mohamed G A Tohamy, Dalia Mostafa, Magdi M Clin Ophthalmol Original Research PURPOSE: To demonstrate the demographic features, causative agents, and outcome of pediatric traumatic cataract surgery in eyes without posterior segment involvement at Assiut University Hospital, Upper Egypt. PATIENTS AND METHODS: This is a retrospective study on children (aged <18 years old) who underwent traumatic cataract surgery from January to June 2019. Children with posterior segment injury and those who did not complete 6 months of postoperative follow-up were excluded. The demographic features, mechanism and time of eye injury, clinical features, surgical approach, and outcome were recorded and analyzed. RESULTS: The study included 34 eyes of 34 children, 23 (68%) of them were boys. The mean age at the time of cataract surgery was 10±3.97 years. Twenty-one eyes sustained open globe injury (62%) with the most common cause of trauma was wooden sticks, while 13 eyes had closed globe injury (38%) with the most common cause of injury was thrown stones. The time interval between eye injury and cataract surgery ranged from 1 day to 9 years with a median of 2.05 months. Posterior chamber intraocular lenses were implanted in all eyes; in 33 eyes, the posterior chamber intraocular lenses were implanted primarily at the time of cataract extraction. Corrected distance visual acuity significantly improved from 2.63±0.66 LogMAR preoperatively, to 0.41±0.38 LogMAR postoperatively (p < 0.001). CONCLUSION: Pediatric traumatic cataract is commonly present in primary school age especially after open globe injury. Primary prevention through health awareness should target this age population. Useful vision can be regained with timely proper surgical intervention and posterior chamber intraocular lens implantation. CLINICALTRIALS.GOV ID: NCT04630509. Dove 2021-04-16 /pmc/articles/PMC8057834/ /pubmed/33888974 http://dx.doi.org/10.2147/OPTH.S282080 Text en © 2021 Kedwany et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Kedwany, Salma M Saleh, Mohamed G A Tohamy, Dalia Mostafa, Magdi M Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study |
title | Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study |
title_full | Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study |
title_fullStr | Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study |
title_full_unstemmed | Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study |
title_short | Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study |
title_sort | outcome of pediatric traumatic cataract in upper egypt: a tertiary center study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057834/ https://www.ncbi.nlm.nih.gov/pubmed/33888974 http://dx.doi.org/10.2147/OPTH.S282080 |
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