Clinical characteristics of congenital and developmental cataract in Kazakhstan

Purpose: To study and describe clinical characteristics of congenital and developmental cataract at a tertiary eye care facility. Methods: In this retrospective study, 942 children (1311 eyes) presenting with congenital/developmental cataract over a 10-year study period were included. Gender, age at...

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Main Authors: Aliya Kabylbekova, Serik Meirmanov, Altyn Aringazina, Lukpan Orazbekov, Ardak Auyezova
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=12;spage=4325;epage=4330;aulast=Kabylbekova
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author Aliya Kabylbekova
Serik Meirmanov
Altyn Aringazina
Lukpan Orazbekov
Ardak Auyezova
author_facet Aliya Kabylbekova
Serik Meirmanov
Altyn Aringazina
Lukpan Orazbekov
Ardak Auyezova
author_sort Aliya Kabylbekova
collection DOAJ
description Purpose: To study and describe clinical characteristics of congenital and developmental cataract at a tertiary eye care facility. Methods: In this retrospective study, 942 children (1311 eyes) presenting with congenital/developmental cataract over a 10-year study period were included. Gender, age at surgery, main presenting complaint, morphologic type of cataract, laterality, family history, and associated findings were recorded. Results: The overall proportion of boys and girls undergoing cataract surgery was approximately equal (P = 0.110). However, in the cases of bilateral cataract, the proportion of boys was larger than girls (P = 0.028). More than half (62.3%) of the patients underwent surgery at the age of >3 years. The main presenting complaint was white pupils, accounting for 48.1% of cases. Total cataract was the most common morphologic type in all age groups. In total, 133 children out of 942 (14.1%) had a positive family history of congenital/developmental cataract. Strabismus and nystagmus were seen in 27.2% and 19.3% of the eyes, respectively. Additional ocular dysmorphology was found in 97 (10.3%) of patients. Coexisting systemic disease was found in 149 (15.8%) cases. Among syndrome-associated cataracts, Down syndrome accounted for the majority of cases. Conclusion: High prevalence of total cataracts as well as frequent association with strabismus and nystagmus are likely to be the consequences of delayed presentation.
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spelling doaj.art-2608422bfc0e4565b8d2ba478190203d2022-12-22T03:52:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170124325433010.4103/ijo.IJO_939_22Clinical characteristics of congenital and developmental cataract in KazakhstanAliya KabylbekovaSerik MeirmanovAltyn AringazinaLukpan OrazbekovArdak AuyezovaPurpose: To study and describe clinical characteristics of congenital and developmental cataract at a tertiary eye care facility. Methods: In this retrospective study, 942 children (1311 eyes) presenting with congenital/developmental cataract over a 10-year study period were included. Gender, age at surgery, main presenting complaint, morphologic type of cataract, laterality, family history, and associated findings were recorded. Results: The overall proportion of boys and girls undergoing cataract surgery was approximately equal (P = 0.110). However, in the cases of bilateral cataract, the proportion of boys was larger than girls (P = 0.028). More than half (62.3%) of the patients underwent surgery at the age of >3 years. The main presenting complaint was white pupils, accounting for 48.1% of cases. Total cataract was the most common morphologic type in all age groups. In total, 133 children out of 942 (14.1%) had a positive family history of congenital/developmental cataract. Strabismus and nystagmus were seen in 27.2% and 19.3% of the eyes, respectively. Additional ocular dysmorphology was found in 97 (10.3%) of patients. Coexisting systemic disease was found in 149 (15.8%) cases. Among syndrome-associated cataracts, Down syndrome accounted for the majority of cases. Conclusion: High prevalence of total cataracts as well as frequent association with strabismus and nystagmus are likely to be the consequences of delayed presentation.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=12;spage=4325;epage=4330;aulast=Kabylbekovacataractcataract surgerychildcongenital cataractdevelopmental cataract
spellingShingle Aliya Kabylbekova
Serik Meirmanov
Altyn Aringazina
Lukpan Orazbekov
Ardak Auyezova
Clinical characteristics of congenital and developmental cataract in Kazakhstan
Indian Journal of Ophthalmology
cataract
cataract surgery
child
congenital cataract
developmental cataract
title Clinical characteristics of congenital and developmental cataract in Kazakhstan
title_full Clinical characteristics of congenital and developmental cataract in Kazakhstan
title_fullStr Clinical characteristics of congenital and developmental cataract in Kazakhstan
title_full_unstemmed Clinical characteristics of congenital and developmental cataract in Kazakhstan
title_short Clinical characteristics of congenital and developmental cataract in Kazakhstan
title_sort clinical characteristics of congenital and developmental cataract in kazakhstan
topic cataract
cataract surgery
child
congenital cataract
developmental cataract
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=12;spage=4325;epage=4330;aulast=Kabylbekova
work_keys_str_mv AT aliyakabylbekova clinicalcharacteristicsofcongenitalanddevelopmentalcataractinkazakhstan
AT serikmeirmanov clinicalcharacteristicsofcongenitalanddevelopmentalcataractinkazakhstan
AT altynaringazina clinicalcharacteristicsofcongenitalanddevelopmentalcataractinkazakhstan
AT lukpanorazbekov clinicalcharacteristicsofcongenitalanddevelopmentalcataractinkazakhstan
AT ardakauyezova clinicalcharacteristicsofcongenitalanddevelopmentalcataractinkazakhstan