Indian Journal of Clinical and Experimental Ophthalmology, July-September,2016;2(3): 195-200 195 Causes of pediatric cataract in rural population of North India
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2016, Vol 2, Issue 3
Abstract
Abstract Aims: To identify the causes of childhood cataract in rural population of north India with special emphasis on potentially preventable causes. Study design: Cross-sectional, observation study. Place and Duration of Study: Department of Ophthalmology, UP University of Medical Sciences, Saifai, India, during December 2014 to November 2015. Methodology: A total of 50 childhood cataract cases (0-15 years age) attending an eye OPD were evaluated including the detailed history comprising age, birth weight, evidence of maternal infection (especially the TORCH infections), rash or febrile illness during pregnancy, any other prenatal and perinatal history that may be pertinent (e.g., alcohol, tobacco, drug use, ionizing radiation exposure during pregnancy), history of ocular trauma, history of corticosteroid therapy and family history. Detailed ocular examination comprising anterior segment examination including morphology of cataract and posterior segment examination under full mydriasis was performed in both eyes, wherever possible. A slit-lamp examination of both the parents was done, that helps to establish the presence of familial cataracts and cataract-associated conditions. Serological investigations such as titers for rubella specific IgM, blood glucose, serum calcium, serum potassium and urine reducing sugars were carried out as indicated. Results: Out of 50 (males 27, females 23) cases, 35 cases (70%) were non-traumatic and 15 cases (30%) were traumatic. Among 35 non-traumatic cases, 17 cases were bilateral and 18 cases were unilateral. For non-traumatic etiology, 9 cases (25.7%) were hereditary, 6 (17.14%) cases were due to congenital rubella syndrome (CRS) and 20 cases (57.14%) were idiopathic. In children under 1 year of age with no history of trauma, 30% cases were due to CRS. In 15 cases of trauma, the cause of trauma was found to be wooden stick in 4 cases(26.6%),thorn injury in 4 cases(26.6%), firecracker injury in 1case(6.6%), cricket ball injury in 4 cases(26.6 %) and 2 cases (13.3%) were due to pencil tip injury. Conclusion: Potentially preventable causes like CRS and traumatic cataract constitute major proportion of cases. Awareness programs for childbearing age or pregnant females regarding TORCHES infection, school going children for factors which can cause traumatic cataract such as dangers of playing with firecrackers, sticks and other penetrating objects may also plays important role in reducing the burden. Early cataract surgery and prompt visual rehabilitation can prevent the development of amblyopia and ensures proper visual development with age.
Authors and Affiliations
Meenu Babber, Neeraj Kumar Saraswat, Sushil Ojha, Anupama Tandon4, Reena Sharma
Keywords
Related Articles
- EP ID EP241267
- DOI -
- Views 144
- Downloads 0
Effect of retinal laser photocoagulation on contrast sensitivity in diabetic retinopathy
Aim: To study the effect of retinal laser photocoagulation on contrast sensitivity in diabetic retinopathy. Method: Prospective interventional study of all the patients with diabetic retinopathy presenting at our Institu...
Comparative effectiveness of commonly used drugs in primary open angle glaucoma in Indian eyes
Aim: Objective of this study to compare effectiveness of first line of topical drugs commonly used in POAG and to see the percentage of the IOP lowering effect of different drugs in Indian eyes. Design: This study was co...
Strabismus surgery complications
Serious complications during or after strabismus surgery are infrequent This article gives a brief idea of the complications either local or systemic that can occur during or after squint surgery Meticulous hemostasis is...
Photostress test as a predictor of macular dysfunction in patients with asymmetrical Age-related maculopathy
Background: Age related maculopathy causes irreversible central visual loss in elderly population. Photo stress recovery time and Amsler grid evaluation are the tests used to assess the functional integrity of macula. Ai...
Study of manual small incision cataract surgery (MSICS) for ideal size of central curvilinear capsulorhexis(CCC): 6mm or larger
In India MSICS Is still preferred technique in volume surgery institutes. Now whether MSICS is done as a learning step to phacoemulsification, due to unavailability of machine or due to lack of skill; advantages of Centa...