Nationwide incidence of congenital and infantile cataract requiring surgery in Korea

Abstract Congenital and infantile (CI) cataract is one of the most important and preventable cause of blindness in children, but the incidence has not been studied in Korea. We collected data from the national claims database of the National Health Insurance Service of Korea from 2002 through 2019....

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Main Authors: Dong Geun Kim, Da Yun Lee, Se Joon Woo, Kyu Hyung Park, Sang Jun Park
Format: Article
Language:English
Published: Nature Portfolio 2024-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-53339-y
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author Dong Geun Kim
Da Yun Lee
Se Joon Woo
Kyu Hyung Park
Sang Jun Park
author_facet Dong Geun Kim
Da Yun Lee
Se Joon Woo
Kyu Hyung Park
Sang Jun Park
author_sort Dong Geun Kim
collection DOAJ
description Abstract Congenital and infantile (CI) cataract is one of the most important and preventable cause of blindness in children, but the incidence has not been studied in Korea. We collected data from the national claims database of the National Health Insurance Service of Korea from 2002 through 2019. We identified children who underwent cataract surgery within the age of 5 years, and cumulative incidence rates were calculated for each of the three age criteria. 989 patients out of 4,221,459 births underwent surgery with CI cataract during the period. The cumulative incidence rates per 10,000 births were 1.60 (0–1 years), 2.38 (0–3 years), and 2.95 (0–5 years), respectively. The incidence peaked in the 2007 birth cohort, which coincides with the start of the national screening program for infants/children. Primary intraocular lens implantation was performed in 439 patients (44%). Strabismus and glaucoma requiring surgery occurred in 291 patients (29.4%) and 32 patients (3.2%), respectively, within 8 years after cataract surgery. The incidence rates of CI cataract in Korea appear to be comparable to previous studies in other regions. The early screening program for infants may reduce delayed diagnosis and increase the proportion of patients undergoing surgery at a critical time for visual development.
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spelling doaj.art-31726bc2cb2f4f4ba1928ee8c244b8062024-03-05T18:50:20ZengNature PortfolioScientific Reports2045-23222024-03-011411810.1038/s41598-024-53339-yNationwide incidence of congenital and infantile cataract requiring surgery in KoreaDong Geun Kim0Da Yun Lee1Se Joon Woo2Kyu Hyung Park3Sang Jun Park4Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalAbstract Congenital and infantile (CI) cataract is one of the most important and preventable cause of blindness in children, but the incidence has not been studied in Korea. We collected data from the national claims database of the National Health Insurance Service of Korea from 2002 through 2019. We identified children who underwent cataract surgery within the age of 5 years, and cumulative incidence rates were calculated for each of the three age criteria. 989 patients out of 4,221,459 births underwent surgery with CI cataract during the period. The cumulative incidence rates per 10,000 births were 1.60 (0–1 years), 2.38 (0–3 years), and 2.95 (0–5 years), respectively. The incidence peaked in the 2007 birth cohort, which coincides with the start of the national screening program for infants/children. Primary intraocular lens implantation was performed in 439 patients (44%). Strabismus and glaucoma requiring surgery occurred in 291 patients (29.4%) and 32 patients (3.2%), respectively, within 8 years after cataract surgery. The incidence rates of CI cataract in Korea appear to be comparable to previous studies in other regions. The early screening program for infants may reduce delayed diagnosis and increase the proportion of patients undergoing surgery at a critical time for visual development.https://doi.org/10.1038/s41598-024-53339-y
spellingShingle Dong Geun Kim
Da Yun Lee
Se Joon Woo
Kyu Hyung Park
Sang Jun Park
Nationwide incidence of congenital and infantile cataract requiring surgery in Korea
Scientific Reports
title Nationwide incidence of congenital and infantile cataract requiring surgery in Korea
title_full Nationwide incidence of congenital and infantile cataract requiring surgery in Korea
title_fullStr Nationwide incidence of congenital and infantile cataract requiring surgery in Korea
title_full_unstemmed Nationwide incidence of congenital and infantile cataract requiring surgery in Korea
title_short Nationwide incidence of congenital and infantile cataract requiring surgery in Korea
title_sort nationwide incidence of congenital and infantile cataract requiring surgery in korea
url https://doi.org/10.1038/s41598-024-53339-y
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