Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study

Salma M Kedwany, Mohamed GA Saleh, Dalia Tohamy, Magdi M Mostafa Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, EgyptCorrespondence: Magdi M MostafaDepartment of Ophthalmology, Assiut University, Assiut, 71515, EgyptTel +201093122344Email magdimohammad2013@gmail.comPurp...

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Autores principales:	Kedwany SM, Saleh MG, Tohamy D, Mostafa MM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	pediatric cataract pediatric ocular trauma lens posterior chamber intraocular lenses implantation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/563601add4d343278797b8f0e59e977f
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spelling	oai:doaj.org-article:563601add4d343278797b8f0e59e977f2021-12-02T15:51:21ZOutcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study1177-5483https://doaj.org/article/563601add4d343278797b8f0e59e977f2021-04-01T00:00:00Zhttps://www.dovepress.com/outcome-of-pediatric-traumatic-cataract-in-upper-egypt-a-tertiary-cent-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Salma M Kedwany, Mohamed GA Saleh, Dalia Tohamy, Magdi M Mostafa Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, EgyptCorrespondence: Magdi M MostafaDepartment of Ophthalmology, Assiut University, Assiut, 71515, EgyptTel +201093122344Email magdimohammad2013@gmail.comPurpose: 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.Keywords: pediatric cataract, pediatric ocular trauma, lens, posterior chamber intraocular lenses implantationKedwany SMSaleh MGTohamy DMostafa MMDove Medical Pressarticlepediatric cataractpediatric ocular traumalensposterior chamber intraocular lenses implantationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1583-1589 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatric cataract pediatric ocular trauma lens posterior chamber intraocular lenses implantation Ophthalmology RE1-994
spellingShingle	pediatric cataract pediatric ocular trauma lens posterior chamber intraocular lenses implantation Ophthalmology RE1-994 Kedwany SM Saleh MG Tohamy D Mostafa MM Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study
description	Salma M Kedwany, Mohamed GA Saleh, Dalia Tohamy, Magdi M Mostafa Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, EgyptCorrespondence: Magdi M MostafaDepartment of Ophthalmology, Assiut University, Assiut, 71515, EgyptTel +201093122344Email magdimohammad2013@gmail.comPurpose: 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.Keywords: pediatric cataract, pediatric ocular trauma, lens, posterior chamber intraocular lenses implantation
format	article
author	Kedwany SM Saleh MG Tohamy D Mostafa MM
author_facet	Kedwany SM Saleh MG Tohamy D Mostafa MM
author_sort	Kedwany SM
title	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_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_sort	outcome of pediatric traumatic cataract in upper egypt: a tertiary center study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/563601add4d343278797b8f0e59e977f
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Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study

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