Daien Vincent, Le Pape Annick, Heve Didier, Villain Max, Bremond Gignac Dominique
Department of Ophthalmology, University Hospital of Montpellier, Montpellier, France.
Ophthalmic Res. 2017;58(2):114-116. doi: 10.1159/000473701. Epub 2017 Jun 20.
Prevention of visual impairment due to congenital cataract is an international priority as part of VISION 2020 - The Right to Sight, the joint initiative of the World Health Organization and the International Agency for the Prevention of Blindness. The present study is part of the Epidemiology and Safety (EPISAFE) collaborative program aiming at assessing the epidemiology and safety of interventions in ophthalmology.
All children who underwent cataract surgery before the age of 1 year in France between January 2010 and December 2012 were identified by using the Programme de Médicalisation des Systèmes d'Information.
In 3 years, 532 children (699 eyes; 46.6% girls) had cataract surgery before the age of 1 year; 31.4% had bilateral surgery. During the first year of life, the incidence of cataract surgery was 2.15/10,000 births. The median (interquartile range) age at surgery was 3.5 (2.2-4.8) months for children with unilateral cataract and 4.0 (2.2-7.2) months for children with bilateral cataract. Of the 699 operated eyes, 76.49% received intraocular lens implantation during the cataract surgery.
The incidence of congenital cataract surgery observed in France is close to that in the literature in the industrialized world, which is estimated at 1-3/10,000 births. The timing of surgery is critical for visual development. Surgery was performed younger in children with monocular cataracts than in those with bilateral cataracts.
作为世界卫生组织和国际防盲机构的联合倡议“视觉2020：享有看见的权利”的一部分，预防先天性白内障导致的视力损害是一项国际优先事项。本研究是流行病学与安全性（EPISAFE）合作项目的一部分，旨在评估眼科干预措施的流行病学和安全性。
利用信息系统医学化项目，确定了2010年1月至2012年12月期间在法国1岁前接受白内障手术的所有儿童。
3年期间，532名儿童（699只眼；46.6%为女孩）在1岁前接受了白内障手术；31.4%接受了双侧手术。在生命的第一年，白内障手术的发生率为2.15/10000活产。单侧白内障儿童手术时的中位（四分位间距）年龄为3.5（2.2 - 4.8）个月，双侧白内障儿童为4.0（2.2 - 7.2）个月。在699只接受手术的眼中，76.49%在白内障手术期间接受了人工晶状体植入。
在法国观察到的先天性白内障手术发生率与工业化国家文献报道相近，估计为1 - 3/10000活产。手术时机对视力发育至关重要。单眼白内障儿童的手术年龄比双眼白内障儿童更小。
