Abstract Book

Total Page:16

File Type:pdf, Size:1020Kb

Abstract Book ABSTRACT BOOK 18-27 September 2020 TABLE OF CONTENT ABSTRACT FREE PAPER ABSTRACT FREE PAPER FP-GLA-01 Association of statin use with risk of developing open-angle glaucoma GLA 3 Abstract Title NO 22 Association of statin use with risk of developing open-angle glaucoma First Author IIM 30 Ferdy Iskandar KBR 44 Author Institution Research Assistant, Department of Ophthalmology, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia OFKOM 58 Co Author Fadima Fitri Larasati (Research Assistant, Department of Ophthalmology, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) VR 75 Dhiny Lidinillah (Research Assistant, Department of Ophthalmology, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) POS 89 Gustiandari Fidhya Permanik (Research Assistant, Department of Ophthalmology, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) REF 100 Florentina Priscilia (Research Assistant, Department of Ophthalmology, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) ROO 103 Rianti Pratiwi (Research Assistant, Department of Ophthalmology, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) Abstract Type Research ABSTRACT E-POSTER Introduction & Objective Open-angle glaucoma (OAG) is a progressive neurodegenerative disease that leads to glaucomatous optic neuropathy and is the leading cause of irreversible blindness worldwide. Statins are inhibitors of 3-Hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase, a class of cholesterol-lowering medication prescribed for prevention and treatment E-pos GLA 105 of cardiovascular disease. The pleiotropic properties of statins such as antioxidant, immunomodulation, and effects on the nitric oxide synthase system has been proposed to protect retinal ganglion cells (RGC) against glaucomatous damage. E-Pos NO 128 We performed a systematic review to summarize the evidence to address the conflicting results of the association of statin use with OAG. E-Pos IIM 156 Method The systematic review was done by searching the following electronic database from 2010 to 2019: PubMed, MEDLINE, E-Pos KBR 194 and Cochrane Library. Studies in English with human participants were included. Review articles were excluded. Result E-Pos OFKOM 218 We identified four cohort studies and one case control study with a total number of 691.346 participants.No randomized control trials were retrieved. There was inconsistent evidence regarding the protective effect of statins against the E-Pos VR 220 incidence of OAG. One study shows that high dose of statins may increase the risk of OAG (p Conclusion E-Pos POS 243 Statin use with a minimal duration of 2 years was associated with a significant reduction in the risk of developing OAG. Further research is needed to determine the duration and dose used to obtain a protective effect. E-Pos REF 260 Keyword statin, open-angle glaucoma E-Pos ROO 271 Category Free Paper Presentation Latest Update July 21, 2020 Status Submitted Abstract Book Perdami Virtual Scientific Meeting 2020 3 FP-GLA-02 FP-GLA-03 The relationship between caffeine intake and intraocular pressure in Asia The Relationship between Blood Pressure and Primary Open Angle Pacific:a systematic review Glaucoma: a Cross-sectional Study Abstract Title Abstract Title The relationship between caffeine intake and intraocular pressure in Asia Pacific:a systematic review The Relationship between Blood Pressure and Primary Open Angle Glaucoma: a Cross-sectional Study First Author First Author Florentina Priscilia Florentina Priscilia Author Institution Author Institution Research Assistant,Department of Ophthalmology,Cipto Mangunkusumo General Hospital,Indonesia General Practitioner,Universitas Gadjah Mada Hospital,Indonesia ; Research Assistant, Department of Ophthalmology, Co Author Cipto Mangunkusomo General Hospital,Indonesia Fidhya Permanik (Research Assistant,Department of Ophthalmology,Cipto Mangunkusumo General Hospital, Indonesia) Co Author Ferdy Iskandar (Research Assistant,Department of Ophthalmology,Cipto Mangunkusumo General Hospital,Indonesia ) Eva Revana (Ophthalmologist, Universitas Gadjah Mada Hospital,Yogyakarta,Indonesia) Fadima Fitri Larasati (Research Assistant,Department of Ophthalmology,Cipto Mangunkusumo General Abstract Type Hospital,Indonesia ) Research Rianti Pratiwi (Research Assistant,Department of Ophthalmology,Cipto Mangunkusumo General Hospital,Indonesia ) Dhiny Lidinillah (Research Assistant,Department of Ophthalmology,Cipto Mangunkusumo General Hospital,Indonesia ) Introduction & Objective Abstract Type Primary open-angle glaucoma (POAG) is a progressive optic neuropathy that leads to blindness. The development of POAG has multifactorial risks; one of them is vascular diseases. Elevated blood pressure (BP) is predicted to have Research associations with the eyes’ vascular impairment while the decrease of BP is predicted to cause a drop in ocular perfusion Introduction & Objective pressure. Both high and low BP lead to an ischemic injury and damage of the optic nerve in some studies, this study aimed Glaucoma is a progressive optic neuropathy that leads to blindness.Asia Pacific accounted for approximately 60% of the to evaluate the relation between blood pressure and POAG. disease and the number will increase to 74% in 2040. The highest prevalence is among Chinese and Japanese. Method Controlling modifiable factors also has its role in maintaining the intraocular pressure (IOP), especially diet, such as The study was conducted as a cross-sectional case-control hospital medical record study with the period from January to reducing caffeine intake which is regularly consumed. The controversial effects of caffeine and IOP are still December 2018. There were 67 cases and 71 controls. The BP compared with those hypertensive-hypotensive patients questionable, thus we conducted a systematic review to summarize the conflicting result of the association. with glaucoma (cases) and hypertensive-hypotensive patients without glaucoma (controls). Method Result This study was conducted from Pubmed,MedLink, and Cochrane between 2002 and 2019. Studies in English and human High diastolic BP (odds ratio: 6.476 with 95% CI 1.976-21.222) and low systolic BP (odds ratio: 5.625 with 95% CI 1.162- subjects were included. Case reports, review articles, and studies with more than one modifiable factor were excluded. 27.222) has a strong positive association with POAG, while high systolic BP (odds ratio: 20.900 with 95% CI 4.306- Result 101.437) and low diastolic BP (odds ratio: 17.795 with 95% CI 4.015-78.866) has a weakly positive association with POAG We included five studies consisted of three interventional and two observational studies with 3389 patients composed in our study. of 3027 normal individuals,118 glaucoma patients, and 244 ocular hypertension patients. Three studies concluded that Conclusion caffeine intake significantly increases IOP.Avisar’s reported patients with glaucoma and ocular hypertension who were Our study concluded that high diastolic and low systolic BP was a strong risk factor for the development of POAG. coffee drinker demonstrated a statistically significant elevation in IOP (p=0.0003), Chadrasekaran’s reported significant However, further experimental studies are needed to investigate the mechanism of vascular disease and optic nerve IOP increase in glaucoma patients with regular coffee drinker (p=0.03), and Tran’s reported a rise in IOP for glaucoma damage. patients in caffeine test (p=0.004). Keyword Conclusion POAG, blood pressure, vascular disease Based on these studies, caffeine intake should be limited for patients with glaucoma or ocular hypertension, since there is a significant elevation in IOP. However, further studies are needed to investigate the long term effect of caffeine in Category IOP and optic nerve damage. Free Paper Presentation Keyword Latest Update caffeine, intraocular pressure August 01, 2020 Category Status Free Paper Presentation Submitted GLAOKOMA 3 Latest Update July 21, 2020 4 Abstract Book Perdami Virtual Scientific Meeting 2020 Abstract Book Perdami Virtual Scientific Meeting 2020 5 FP-GLA-04 FP-GLA-05 NEOVASCULAR GLAUCOMA WITH DIABETIC RETINOPATHY: A CHARACTERISTIC AND SURGICAL OUTCOME OF UVEITIC GLAUCOMA RETROSPECTIVE REVIEW FROM A TERTIARY EYE CARE CENTER IN INDONESIA Abstract Title CHARACTERISTIC AND SURGICAL OUTCOME OF UVEITIC GLAUCOMA First Author Abstract Title Novaqua Yandi NEOVASCULAR GLAUCOMA WITH DIABETIC RETINOPATHY: A RETROSPECTIVE REVIEW FROM A TERTIARY EYE CARE CENTER IN INDONESIA Author Institution Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Hospital First Author Nikho Melga Shalim Co Author Elsa Gustianty (Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Author Institution Hospital) Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Hospital Andika Prahasta (Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Co Author Hospital) R. Maula Rifada (Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye R. Maula Rifada (Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Hospital) Hospital) Andika Prahasta (Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Sonie Umbara (Ophthalmology Department Faculty of Medicine Padjadjaran University, Cicendo National Eye Hospital) Hospital) Elsa Gustianty (Ophthalmology Department Faculty of Medicine Padjadjaran
Recommended publications
  • Discourses Exploring the Space Between Tradition and Modernity in Indonesia
    In the 8th International Indonesia Forum Conference DISCOURSES EXPLORING THE SPACE BETWEEN TRADITION AND MODERNITY IN INDONESIA i Sanksi Pelanggaran Pasal 72 Undang-undang Nomor 19 Tahun 2002 Perubahan atas Undang-undang Nomor 7 Tahun 1987 Perubahan atas Undang-undang Nomor 6 Tahun 1982 Tentang Hak Cipta 1. Barang siapa dengan sengaja dan tanpa hak melakukan perbuatan sebagaimana dimaksud dalam Pasal 2 ayat (1) atau Pasal 49 ayat (1) dan ayat (2) dipidana dengan pidana penjara masing-masing paling singkat 1 (satu) bulan dan/atau denda paling sedikit Rp. 1.000.000,00 (satu juta rupiah), atau pidana penjara paling lama 7 (tujuh) tahun dan/atau denda paling banyak Rp. 5.000.000.000,00 (lima miliar rupiah). 2. Barang siapa dengan sengaja menyiarkan, memamerkan, mengedarkan atau menjual kepada umum suatu ciptaan atau barang hasil pelanggaran Hak Cipta atau Hak Terkait sebagaimana dimaksud dalam ayat (1), dipidana dengan pidana penjara paling lama 5 (lima) tahun dan/atau denda paling banyak Rp. 500.000.000,00 (lima ratus juta rupiah). ii In the 8th International Indonesia Forum Conference DISCOURSES EXPLORING THE SPACE BETWEEN TRADITION AND MODERNITY IN INDONESIA Editorial Board: Hermanu Joebagio, Frank Dhont Pramudita Press iii In the 8th International Indonesia Forum Conference Sebelas Maret University, Solo, Indonesia 29 – 30 July 2015 Organized by: Sebelas Maret University and International Indonesia Forum DISCOURSES EXPLORING THE SPACE BETWEEN TRADITION AND MODERNITY IN INDONESIA Editorial Board: Hermanu Joebagio, Frank Dhont Paper Contributor:
    [Show full text]
  • Pediatric Cataract
    Educational Article Pediatric cataract Α. Νikolaidou, T. Chatzibalis ABSTRACT INTRODUCTION Pediatric cataract constitutes one amongst the leading Cataract is an opacification of the crystalline lens of the causes of childhood blindness. Blindness due to pediatric eye that can result in blindness if not treated soon enough, cataract can be treated with early identification and thought- ful management. When left untreated, cataract in children partially or totally. For children, cataracts of a wide etiology can result in social and economic hurdles for the child but constitute a common cause of blindness, developing often also for society. Hence, the early diagnosis followed by slowly laterally or bilaterally. Early signs of cataract can oc- prompt treatment is of great significance. Routine screening cur as blurry or double vision, halos around light, trouble usually leads to diagnosis while some cases may be referred seeing at night or with bright lighting and faded colors while after parents notice of leukocoria or strabismus. Etiology of parents usually point out leukocoria or strabismus. Timely pediatric cataract is widely miscellaneous and diagnosis of specific etiology assists in effective management. Consider- identification and intervention are of critical significance for 1 ing therapy, pediatric cataract surgery has evolved, by im- a favorable visual outcome. proving knowledge of myopic shift and axial length growth, with the implementation of IOLs being in the spotlight. The number of procedures for IOL implantations increases stead- EPIDEMIOLOGY ily every year. Favorable results depend not only on effective surgery, but also on postoperative care and rehabilitation. Nevertheless, parents, surgeons, anesthesiologists, pedia- The prevalence of childhood cataracts ranges extensively tricians, and optometrists need to work together in order to in the reports due to differences in populations, definition achieve desirable outcomes.
    [Show full text]
  • Congenital Cataract- Approach and Management Review
    IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 16, Issue 5 Ver. V (May. 2017), PP 56-61 www.iosrjournals.org Congenital Cataract- Approach and Management Review Dr.Bhawesh Chandra Saha1, Dr.Rashmi Kumari2, Dr Bibhuti Prasanna Sinha3 1Senior Resident,AIIMS ,Patna 2Senior Resident,Regional Institute Of Ophthalmology,IGIMS ,Patna 3Professor,IGIMS,Patna All India Institute Of Medical Sciences ,Patna ,Indira Gandhi Institute Of Medical Sciences,Patna Abstract: Childhood cataract remains a challenge to pediatric ophthalmologists despite recent major breakthrough in surgical techniques and instrumentation. Pediatric cataract is one of the major causes of preventable childhood blindness, affecting approximately 200,000 children worldwide, with an estimated prevalence ranging from three to six per 10,000 live births Congenital cataracts usually are diagnosed at birth. If a cataract goes undetected in an infant, permanent visual loss may ensue. The management of pediatric cataract is a team effort of ophthalmologist ,pediatrician,anaesthetist and parents and should be customized depending upon the age of onset, laterality, morphology of the cataract, and other associated ocular and systemic co-morbidities.This review attempts to summarize the available management options to these patients along with some analytical recommendations to optimise the outcome. Keywords: Pediatric cataract,childhood blindness I. Introduction Pediatric cataract is one of the major causes of preventable childhood blindness, affecting approximately 200,000 children worldwide, with an estimated prevalence ranging from three to six per 10,000 live births1-3. It may be congenital, if present within the first year of life, developmental if present after infancy, or traumatic.
    [Show full text]
  • Outcomes of Pediatric Cataract Surgery at a Tertiary Care Center in Rural Southern Ethiopia
    CLINICAL SCIENCES Outcomes of Pediatric Cataract Surgery at a Tertiary Care Center in Rural Southern Ethiopia Oren Tomkins, MD, PhD; Itay Ben-Zion, MD; Daniel B. Moore, MD; Eugene E. Helveston, MD Objective: To evaluate the etiologies, management, and (n=33), congenital glaucoma-related (n=3), partially ab- outcomes of pediatric cataracts in a rural sub-Saharan Afri- sorbed cataracts (n=3), and congenital rubella infec- can setting. tions (n=2). At presentation, visual acuity ranged from 6/60 to light perception, with 13 eyes (14%) having am- Methods: A retrospective, consecutive case series of pa- bulatory vision (better than hand motion). The mean post- tients presenting to a tertiary referral center in southern operative visual acuity was significantly improved, rang- Ethiopia during a 13-month period. All patients under- ing from light perception to 6/9. Seventy-five eyes (82%) went clinical examination, were diagnosed as having cata- achieved ambulatory vision. Of the 61 eyes with an im- ract on the basis of standard clinical assessment, and im- planted intraocular lens, 56 (92%) reached ambulatory mediately underwent surgical management. Visual acuity visual acuity following surgery. This was significantly results were grossly divided into ambulatory and non- greater than preoperative visual acuity results (PϽ.001). ambulatory vision according to patient age and coopera- tion. Conclusions: The underlying cause and management of pediatric cataracts in the developing world can differ sig- Results: Ninety-one eyes of 73 consecutive patients (57 nificantly from that commonly reported in the litera- boys and 16 girls) were included in the study. The mean ture. The effects of appropriate intervention on both vi- (SEM) age at diagnosis was 7.1(0.5) years (range, 0.5-15 sual outcome and associated survival statistics may be years).
    [Show full text]
  • Pediatric Cataracts: a Retrospective Study of 12 Years (2004
    Pediatric Cataracts: A Retrospective Study of 12 Years (2004 - 2016) Cataratas em Idade Pediátrica: Estudo Retrospetivo de 12 ARTIGO ORIGINAL Anos (2004 - 2016) Jorge MOREIRA1, Isabel RIBEIRO1, Ágata MOTA1, Rita GONÇALVES1, Pedro COELHO1, Tiago MAIO1, Paula TENEDÓRIO1 Acta Med Port 2017 Mar;30(3):169-174 ▪ https://doi.org/10.20344/amp.8223 ABSTRACT Introduction: Cataracts are a major cause of preventable childhood blindness. Visual prognosis of these patients depends on a prompt therapeutic approach. Understanding pediatric cataracts epidemiology is of great importance for the implementation of programs of primary prevention and early diagnosis. Material and Methods: We reviewed the clinical cases of pediatric cataracts diagnosed in the last 12 years at Hospital Pedro Hispano, in Porto. Results: We identified 42 cases of pediatric cataracts with an equal gender distribution. The mean age at diagnosis was 6 years and 64.3% of patients had bilateral disease. Decreased visual acuity was the commonest presenting sign (36.8%) followed by leucocoria (26.3%). The etiology was unknown in 59.5% of cases and there was a slight predominance of nuclear type cataract (32.5%). Cataract was associated with systemic diseases in 23.8% of cases and with ocular abnormalities in 33.3% of cases. 47.6% of patients were treated surgically. Postoperative complications occurred in 35% of cases and posterior capsular opacification was the most common (25%). Discussion: The report of 42 cases is probably the result of the low prevalence of cataracts in this age. Although the limitations of our study include small sample size, the profile of children with cataracts in our hospital has characteristics relatively similar to those described in the literature.
    [Show full text]
  • Clinical Study of Paediatric Cataract and Visual Outcome After Iol Implantation
    IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 18, Issue 5 Ser. 13 (May. 2019), PP 01-05 www.iosrjournals.org Clinical Study of Paediatric Cataract and Visual Outcome after Iol Implantation Dr. Dhananjay Prasad1,Dr. Vireshwar Prasad2 1(SENIOR RESIDENT) Nalanda Medical College and Hospital, Patna 2(Ex. HOD and Professor UpgradedDepartment of Eye, DMCH Darbhanga) Corresponding Author:Dr. Dhananjay Prasad Abstract: Objectives: (1) To know the possible etiology of Paediatric cataract, (2)Type of Paediatric cataract (3)Associated other ocular abnormality (microophtalmia, nystagmus, Strabismus, Amblyopia, corneal opacity etc.), (4) Systemic association, (5) Laterality (whether unilateral or bilateral), (6) Sex incidence (7)Pre-operative vision (8) To evaluate the visual results after cataract surgery in children aged between 2-15 years and (9) To evaluate the complication and different causes of visual impairment following the management. ----------------------------------------------------------------------------------------------------------------------------- ---------- Date of Submission: 09-05-2019 Date of acceptance: 25-05-2019 ----------------------------------------------------------------------------------------------------------------------------- ---------- I. Material And Methods Prospective study was conducted in the Department of Ophthalmology at Darbhanga Medical College and Hospital, Laheriasarai (Bihar).The material for the present study was drawn from patients attending the out- patient Department of Ophthalmology for cataract management during the period from November 2012 to October 2014. 25 cases (40 Eyes) of pediatric cataract were included in the study. Patients were admitted and the data was categorized into etiology, age, and sex and analyzed. All the cases were studied in the following manner. Inclusion Criteria: • All children above 2 years of age and below 15 years with visually significant cataract.
    [Show full text]
  • Toolkit for Glaucoma Management in Sub-Saharan Africa
    A Toolkit for Glaucoma Management in Sub-Saharan Africa 2 A Toolkit for Glaucoma Management A Toolkit for Glaucoma Management in Sub-Saharan Africa Thanks to financial contribution from the Else Kröner Fresenius Stiftung (Germany), Light for the World launched its first multi-country Glaucoma programme called “Addressing Challenges of Glaucoma - the Silent Thief of Sight” aiming to improve glaucoma services in Burkina Faso, Mozambique and Ethiopia at the end of 2018. As one of the first interventions of this programme, in February 2019, a group of high-level glaucoma experts and general ophthalmologists came together for a workshop in Addis Ababa, Ethiopia, hosted by the Ethiopian Society of Ophthalmology (OSE) to develop a practical toolkit for glaucoma management in Sub-Saharan Africa (SSA). This work was supported by the International Council of Ophthalmology (ICO) and some sections of the ICO Guidelines for Glaucoma Eye Care were adapted for this toolkit. Participants represented all SSA regions as well as global and regional eye health organisations such as the International Council of Ophthalmology (ICO), the International Agency for the Prevention of Blindness (IAPB), the College of Ophthalmology for Eastern, Central and Southern Africa (COECSA), the Francophone African Ophthalmic Society (SAFO), the West African College of Surgeons (WACS), the African Glaucoma Consortium, the Ethiopia, Ghana, Nigeria and South Africa Glaucoma and Ophthalmological Societies, as well as the scientific community and major international training institutions. The group was able to develop the crucial outline for a practical toolkit on glaucoma management for SSA which will complement the important resources existing already, such as the ICO Glaucoma Guidelines.
    [Show full text]
  • Infantile Cataract: Where Are We Now?
    Major Review Infantile cataract: where are we now? Praveen Kumar KV and Sumita Agarkar Correspondence to: Introduction disorder but also helps in planning the manage- Dr. Sumita Agarkar, Pediatric cataract is one of the major causes of pre- ment. Based on morphology, pediatric cataracts – Deputy Director Pediatric ventable childhood blindness affecting approximately can be classified into cataracts involving the Ophthalmology Department, 1 Sankara Nethralaya 200,000 children worldwide. In developing countries, entire lens, central cataracts, anterior cataracts, Medical Research Foundation the prevalence of blindness from cataractC is higher, posterior cataracts, punctate lens opacities, coral- 18, College Road, about one to four per 10,000 children. Early diag- line cataracts, sutural cataract, wedge shaped cata- Chennai - 600 006 nosis and treatment WWWis essential to prevent ract and cataracts associated with PFV. email: [email protected] the development of stimulus deprivation ambly- opia in these children. Cataract surgery in infants Preoperative evaluation poses greater challenges compared to young chil- History taking is an integral part in the evaluation dren. Primary implantation of an intraocular lens of an infant with congenital cataract. The history remains controversial for infants, and the selec- should include tion of an appropriate IOL power is difficult. The Family history of congenital or developmental management of infantile cataract has changed cataract, over the last decade. In this study, we present an 1. Antenatal history of maternal drug intake and overview of the changing concepts of cataracts in fever with rash. infants and its management. 2. Birth history should be specifically looked for Etiology of childhood cataract as bilateral congenital cataract is more The common causes of congenital cataract are common in preterm, low birthweight, small genetic, metabolic disorders, prematurity and intra- for gestational age children.5 uterine infections.
    [Show full text]
  • Cataract Management in Children: a Review of the Literature and Current Practice Across five Large UK Centres
    Eye (2020) 34:2197–2218 https://doi.org/10.1038/s41433-020-1115-6 REVIEW ARTICLE Cataract management in children: a review of the literature and current practice across five large UK centres 1,2 3 4 5 6 4 5 J. E. Self ● R. Taylor ● A. L. Solebo ● S. Biswas ● M. Parulekar ● A. Dev Borman ● J. Ashworth ● 1 6 1 7 4,5 R. McClenaghan ● J. Abbott ● E. O’Flynn ● D. Hildebrand ● I. C. Lloyd Received: 29 April 2020 / Revised: 2 July 2020 / Accepted: 16 July 2020 / Published online: 10 August 2020 © The Author(s) 2020. This article is published with open access Abstract Congenital and childhood cataracts are uncommon but regularly seen in the clinics of most paediatric ophthalmology teams in the UK. They are often associated with profound visual loss and a large proportion have a genetic aetiology, some with significant extra-ocular comorbidities. Optimal diagnosis and treatment typically require close collaboration within multidisciplinary teams. Surgery remains the mainstay of treatment. A variety of surgical techniques, timings of intervention and options for optical correction have been advocated making management seem complex for those seeing affected children infrequently. This paper summarises the proceedings of two recent RCOphth paediatric cataract study days, provides a ‘ ’ 1234567890();,: 1234567890();,: literature review and describes the current UK state of play in the management of paediatric cataracts. Introduction key to achieving optimal outcomes. Ideal management of children with cataract typically involves a team of healthcare The global prevalence of congenital cataract (CC) is estimated professionals. Well-established clinical networks and referral as between 2.2/10,000 and 13.6/10,000 [1].
    [Show full text]
  • Pediatric Cataract Delhi J Ophthalmol 2015; 25 (3): 160-165 DOI
    ISSN 0972-0200 Major Review Pediatric Cataract Delhi J Ophthalmol 2015; 25 (3): 160-165 DOI: http://dx.doi.org/10.7869/djo.99 Bharat Patil, Reetika Sharma, Paediatric cataract is one of the most important surgically treatable causes of childhood blindness. Bhagbat Nayak, Treating pediatirc cataract has a large impact on society as ‘lost blind years’ can be saved. Various morphological types are known of which zonular has the best visual prognosis. Rubella accounts for Gautam Sinha, the most common preventive cause for pediatrc cataract. Intraoperative biometry plays an important Sudarshan Khokhar role though in coperative children optical biometry may be suitable option. Since the pediatric eye and Cataract, Refractive Surgery & pediatric lens is not a minature adult eye and lens repsectively, surgical steps needs to be modified. Glaucoma Services Intraocular lenses (IOL) provide the best available option for visual rehabilitation after removal of Dr Rajendra Prasad Centre for cataract because of the constant visual input provided. Poor intraocular lens power predictability, Ophthalmic Sciences, increased inflammation, postoperative complications and the technical difficulty of surgery are the All India Institute for Medical Sciences, main concerns for IOL implantation. Surgery is just a step towards management of pediatric cataract, New Delhi 110029, India amblyopia therapy, glasses correction, and log term follwup are essetinal for better outcomes. Keywords : pediatric cataract • Lens aspiration • Posterior capsulorhexis *Address for correspondence According to World Health metabolic disorders,8 prematurity,9 and Organisation (WHO), every minute a intrauterine infections.10-13 Significant child goes blind somewhere in the world.1 causes of childhood cataract in older Childhood blindness has a socioeconomic children include trauma,10-12 drug-induced impact over child, family and the society cataract,14 radiation therapy,15 and laser due to ‘blind years’.
    [Show full text]
  • Blindness and Cataract in Children in Developing Countries
    CHILDHOOD BLINDNESS Blindness and cataract in children in developing countries order to increase the chances of finding 8th General Assembly of IAPB Developing programmes blind children. These methods include Course 2: Congenital and developmental examining children in anganwandis to control blindness and cataract (kindergartens), schools, vision centres, cataract in children Speakers: Paul Courtright, Parikshit Gogate, paediatric eye care centres, and during Kuldeep Dole, Mohammad Muhit, Khumbo Kalua, Visual impairment in children can have an special outreach initiatives such as Andrea Zin, Elizabeth Kishiki, Rohit C Khanna impact on their performance at school, as sarva siksha abhiyan (‘education for all’). well as their social interaction and devel- Session: Childhood blindness The ‘key informant’ method is another opment. Promoting eye health in children Speakers: Pablo Cibils, Mohammad Muhit, means of finding blind children. and ensuring early detection of visual Anna Rius, Deepti Bajaj, Marcela Frazier, impairment is an important part of general M Alamgir Hossain The key informant method eye health and child health strategies. This novel method of obtaining population- Since the launch of VISION 2020, Report by: based data on childhood blindness has various programmes have been developed Parikshit Gogate been piloted in Bangladesh, Ghana, Malawi, in resource-poor countries to control Head, Department of Paediatric Ophthal- 3,4,5,6 mology, Community Eye Care, HV Desai and Iran. blindness and cataract in children. Eye Hospital, Pune 411 028, India. A study in Bangladesh, in which over Speakers presented a selection of pilot or Email: [email protected] 75,000 children were screened, compared established programmes in Latin America the key informant and the house-to-house and Asia.
    [Show full text]
  • Pediatric Traumatic Cataract and Surgery Outcomes in Eastern China
    PediatrictraumaticcataractinChina 窑ClinicalResearch窑 Pediatrictraumaticcataractandsurgeryoutcomesin easternChina:ahospital-basedstudy 1WeifangMedicalUniversity,Weifang261053,Shandong DOI:10.3980/j.issn.2222-3959.2013.02.10 Province,China 2ShandongEyeInstitute,Qingdao266071,Shandong XuYN,HuangYS,XieLX.Pediatrictraumaticcataractandsurgery Province,China outcomesineasternChina:ahospital-basedstudy. Co-firstauthors: Ying-NanXuandYu-SenHuang 2013;6(2):160-164 Correspondenceto: Li-XinXie.ShandongEyeInstitute,5 YanerdaoRoad,Qingdao266071,ShandongProvince,China. INTRODUCTION [email protected] ediatrictraumaticcataractisoneoftheleadingcausesof Received:2012-12-04Accepted:2013-03-05 P monocularblindnessinchildren,accountingfor29%- 57%ofpediatriccataractcases [1].Pediatriceyeisin Abstract development, andtraumawillleadtomoresevere complications,suchas vitreous proliferationdiseases. · AIM:Toevaluatetheetiologies,management,and Withouteffectiveandprompttreatments,pediatriccataract outcomesofpediatrictraumaticcataractineasternChina. willdeterioratevision,includingoflossofbinocularvision, METHODS:Pediatrictraumaticcataractwerereviewed · amblyopia,strabismus,lowvisioninlife,evenblind [2].In fordemographicinformation,typeofinjury,modeof certainregionswithwell-establishedchildhoodblindness injury,timeofinjury,intervalbetweeninjuryandfirst programs,theaverageChildhoodCataractSurgicalRate visitingdoctors,hospitaloffirstvisiting,surgeries, (CCSR)rangesfrom29.2to39.8childrenpermillion complicationsandprognosis. population [3],whereasinotherpoorlyestablishedregions,the
    [Show full text]