Visual impairment and delay in presentation for surgery in chinese pediatric patients with cataract.

作者: Caiyun You , Xiaoming Wu , Yingying Zhang , Yunhai Dai , Yusen Huang

DOI: 10.1016/J.OPHTHA.2010.04.014

关键词: Severe visual impairmentVisual acuityPresentation (obstetrics)Visual impairmentSurgeryMedicineStrabismusNystagmusPosterior polar cataractIncidence (epidemiology)

摘要: Purpose To report visual impairment and blindness delay in presentation for surgery Chinese pediatric patients with cataract. Design Retrospective case series. Participants A total of 196 children (309 eyes) congenital or developmental Methods Surgery was performed all patients. Visual were defined as best-corrected acuity Main Outcome Measures Incidence blindness, ages at disease recognition surgery, duration surgery. Results 20/25 better 22 eyes (7.1%), between 20/40 72 (23.3%), 20/60 87 (28.2%). occurred 41.4% eyes, 52.0% patients, 35.4% bilateral cataract, 74.7% unilateral The frequency combined nystagmus, strabismus, nuclear posterior polar cataract 84.4%, 75%, 63.8%, 48%, 48.3%, respectively. Severe postoperative complications resulted 14.8% blindness. mean 22.6±30.4 months 68.3±40.0 months, 49.6±39.8 35.7±32.2 the recognized within 6 age 46 (40.7%) 10 (12.0%) Among these children, only 18 (15.9%) 1 (1.2%) underwent 3 age. No received surgical intervention months. Conclusions is common China. Delayed to hospital late treatment are major reasons deserve greater attention. Financial Disclosure(s) author(s) have no proprietary commercial interest any materials discussed this article.

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