Zegarra Manuel, Burga Gisella Harumi, Lansingh Van, Samudio Margarita, Duarte Edgar, Ferreira Rocio, Dorantes Yesenia, Ginés Juan Carlos, Zepeda Luz
Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
IAPB/V2020 Latin America, Weston, Florida, USA.
Arq Bras Oftalmol. 2014 Oct;77(5):297-299. doi: 10.5935/0004-2749.20140075. Epub 2014 Sep 1.
Purpose: Providing data on the late diagnosis and surgical treatment of patients who underwent surgery for total unilateral congenital cataract. Methods: Systematic retrospective review of the medical record of all patients between 0 and 16 years old with total unilateral congenital cataract who underwent surgery at Fundación Vision between January 2010 and July 2012. Results: Medical records of 37 patients (51 % females) were studied, age was 7.4 (± 4.9) years (average ± SD) and 62% lived on Departamento Central (the most populated region from Paraguay). A total of 97.3% patients underwent late surgical treatment and 86.5% received a late diagnosis. The average time elapsed between the diagnosis and the surgical treatment was one month, and 62.2% of the patients underwent surgery within six months from the diagnosis. Conclusion: This study evidences that most of the patients in our series had a late treatment as a result of a late diagnosis. Based on these results we recommend establishing strategies to improve the early detection and surgical treatment of the newborns.
提供接受单侧完全性先天性白内障手术患者的延迟诊断及手术治疗相关数据。方法：对2010年1月至2012年7月间在 Fundación Vision 接受手术的所有0至16岁单侧完全性先天性白内障患者的病历进行系统回顾性研究。结果：研究了37例患者的病历（51%为女性），年龄为7.4（±4.9）岁（平均±标准差），62%居住在中央省（巴拉圭人口最多的地区）。共有97.3%的患者接受了延迟手术治疗，86.5%被延迟诊断。诊断与手术治疗之间的平均间隔时间为1个月，62.2%的患者在诊断后6个月内接受了手术。结论：本研究表明，我们系列中的大多数患者因诊断延迟而接受了延迟治疗。基于这些结果，我们建议制定策略以改善新生儿的早期检测和手术治疗。
