Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study

AIM: To evaluate the etiologies, management, and outcomes of pediatric traumatic cataract in eastern China. METHODS:Pediatric traumatic cataract were reviewed for demographic information, type of injury, mode of injury, time of injury, interval between injury and first visiting doctors, hospital...

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Main Authors: Yu-Sen Huang, Li-Xin Xie, Ying-Nan Xu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2013-04-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633753/
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author Yu-Sen Huang
Li-Xin Xie
Ying-Nan Xu
author_facet Yu-Sen Huang
Li-Xin Xie
Ying-Nan Xu
author_sort Yu-Sen Huang
collection DOAJ
description AIM: To evaluate the etiologies, management, and outcomes of pediatric traumatic cataract in eastern China. METHODS:Pediatric traumatic cataract were reviewed for demographic information, type of injury, mode of injury, time of injury, interval between injury and first visiting doctors, hospital of first visiting, surgeries, complications and prognosis. RESULTS:A total of 117 eyes of 117 patients (96 boys and 21 girls) with unilateral injuries (66 right and 51 left eyes) were included in the study. The mean (SEM) age at diagnosis was (6.6±3.2) years (range, 1.3-13.8 years). Each cataract was categorized according to the type of trauma:closed-globe (n=26) or open-globe (n=91) injuries. The most common injuring objects were sharp metal objects (37.61%). The most common complication in open-globe injuries was corneal laceration, whereas traumatic mydriasis was most common in closed-globe injuries. Of 68 eyes in patients with open-globe injuries who received cataract extraction, intraocular lens (IOLs) were primarily implanted in 47 eyes (68.12%), whereas 18 eyes with closed-globe injuries received cataract extraction, and IOLs were primarily implanted in 17 eyes (94.4%). The surgical procedures included reconstruction of the anterior segment, synechiolysis, excision of the membrane, lensectomy, vitrectomy and related techniques. Postoperative vision was significantly improved compared with preoperative vision. CONCLUSION: Pediatric traumatic cataract should be treated in time to attenuate the complications, and education on pediatric traumatic cataract and improvements in pediatric health care are needed for the early detection of cataract in children.
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spelling doaj.art-26ac24a3ffe14f2c905a7268008ba1452022-12-21T20:37:00ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982013-04-016216016410.3980/j.issn.2222-3959.2013.02.10Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based studyYu-Sen HuangLi-Xin XieYing-Nan XuAIM: To evaluate the etiologies, management, and outcomes of pediatric traumatic cataract in eastern China. METHODS:Pediatric traumatic cataract were reviewed for demographic information, type of injury, mode of injury, time of injury, interval between injury and first visiting doctors, hospital of first visiting, surgeries, complications and prognosis. RESULTS:A total of 117 eyes of 117 patients (96 boys and 21 girls) with unilateral injuries (66 right and 51 left eyes) were included in the study. The mean (SEM) age at diagnosis was (6.6±3.2) years (range, 1.3-13.8 years). Each cataract was categorized according to the type of trauma:closed-globe (n=26) or open-globe (n=91) injuries. The most common injuring objects were sharp metal objects (37.61%). The most common complication in open-globe injuries was corneal laceration, whereas traumatic mydriasis was most common in closed-globe injuries. Of 68 eyes in patients with open-globe injuries who received cataract extraction, intraocular lens (IOLs) were primarily implanted in 47 eyes (68.12%), whereas 18 eyes with closed-globe injuries received cataract extraction, and IOLs were primarily implanted in 17 eyes (94.4%). The surgical procedures included reconstruction of the anterior segment, synechiolysis, excision of the membrane, lensectomy, vitrectomy and related techniques. Postoperative vision was significantly improved compared with preoperative vision. CONCLUSION: Pediatric traumatic cataract should be treated in time to attenuate the complications, and education on pediatric traumatic cataract and improvements in pediatric health care are needed for the early detection of cataract in children.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633753/childrentraumacataract
spellingShingle Yu-Sen Huang
Li-Xin Xie
Ying-Nan Xu
Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study
International Journal of Ophthalmology
children
trauma
cataract
title Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study
title_full Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study
title_fullStr Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study
title_full_unstemmed Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study
title_short Pediatric traumatic cataract and surgery outcomes in eastern China:a hospital-based study
title_sort pediatric traumatic cataract and surgery outcomes in eastern china a hospital based study
topic children
trauma
cataract
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633753/
work_keys_str_mv AT yusenhuang pediatrictraumaticcataractandsurgeryoutcomesineasternchinaahospitalbasedstudy
AT lixinxie pediatrictraumaticcataractandsurgeryoutcomesineasternchinaahospitalbasedstudy
AT yingnanxu pediatrictraumaticcataractandsurgeryoutcomesineasternchinaahospitalbasedstudy