<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Traumatic cataract is the leading cause of significant monocular </s...<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Traumatic cataract is the leading cause of significant monocular </span><span style="font-family:""><span style="font-family:Verdana;">visual impairment in children. The cause of this type of cataract is preventable penetrating or blunt ocular injury. Lens extraction can improve the visual </span><span style="font-family:Verdana;">acuity but it also depends on the extent of the injury to other ocular struc</span><span style="font-family:Verdana;">ture</span></span><span style="font-family:Verdana;">s</span><span style="font-family:""><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To describe the features of pediatric traumatic cataract presenting at a tertiary eye center in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><i> </i><span style="font-family:Verdana;">This study is a descriptive study and the data w</span></span><span style="font-family:Verdana;">ere</span><span style="font-family:""><span style="font-family:Verdana;"> collected retrospectively from the medical records of the patients who were diagnosed as pediatric traumatic cataract over the period of January 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> 2019 to December 31</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> 2019. Demographic data, trauma characteristics, clinical features, management, and pre- and post-operative Best Corrected Visual Acuity (BCVA) were reviewed retrospectively. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 37 patients were diagnosed as pediatric traumatic cataract. Among these patients, 78.38% were boys, with the mean age of 9.14 </span></span><span style="font-family:""><span style="font-family:Verdana;">±</span><span style="font-family:Verdana;"> 3.77 years old. Open globe injury was the mechanism of injury for 54.05% patients. Besides lens aspiration, additional procedures were membranectomy, anterior vitrectomy, primary posterior capsulotomy, and synechiolysis. Eighty-one percent patients had unilateral blindness preoperatively and 23.80% patients still had unilateral blindness on three months of follow</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">up. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">In pediatric patients, traumatic cataract occurred predominantly in boys while playing outside the house. The children who had ocular trauma still have the risk of blindness even after the surgery. Trauma prevention and avoidance by adult supervision when children engage in outdoor play activity </span></span><span style="font-family:Verdana;">are</span><span style="font-family:Verdana;"> necessary.展开更多
文摘<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Traumatic cataract is the leading cause of significant monocular </span><span style="font-family:""><span style="font-family:Verdana;">visual impairment in children. The cause of this type of cataract is preventable penetrating or blunt ocular injury. Lens extraction can improve the visual </span><span style="font-family:Verdana;">acuity but it also depends on the extent of the injury to other ocular struc</span><span style="font-family:Verdana;">ture</span></span><span style="font-family:Verdana;">s</span><span style="font-family:""><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To describe the features of pediatric traumatic cataract presenting at a tertiary eye center in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><i> </i><span style="font-family:Verdana;">This study is a descriptive study and the data w</span></span><span style="font-family:Verdana;">ere</span><span style="font-family:""><span style="font-family:Verdana;"> collected retrospectively from the medical records of the patients who were diagnosed as pediatric traumatic cataract over the period of January 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> 2019 to December 31</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> 2019. Demographic data, trauma characteristics, clinical features, management, and pre- and post-operative Best Corrected Visual Acuity (BCVA) were reviewed retrospectively. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 37 patients were diagnosed as pediatric traumatic cataract. Among these patients, 78.38% were boys, with the mean age of 9.14 </span></span><span style="font-family:""><span style="font-family:Verdana;">±</span><span style="font-family:Verdana;"> 3.77 years old. Open globe injury was the mechanism of injury for 54.05% patients. Besides lens aspiration, additional procedures were membranectomy, anterior vitrectomy, primary posterior capsulotomy, and synechiolysis. Eighty-one percent patients had unilateral blindness preoperatively and 23.80% patients still had unilateral blindness on three months of follow</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">up. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">In pediatric patients, traumatic cataract occurred predominantly in boys while playing outside the house. The children who had ocular trauma still have the risk of blindness even after the surgery. Trauma prevention and avoidance by adult supervision when children engage in outdoor play activity </span></span><span style="font-family:Verdana;">are</span><span style="font-family:Verdana;"> necessary.
