Kedwany Salma M, Saleh Mohamed G A, Tohamy Dalia, Mostafa Magdi M
Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Clin Ophthalmol. 2021 Apr 16;15:1583-1589. doi: 10.2147/OPTH.S282080. eCollection 2021.
To demonstrate the demographic features, causative agents, and outcome of pediatric traumatic cataract surgery in eyes without posterior segment involvement at Assiut University Hospital, Upper Egypt.
This is a retrospective study on children (aged <18 years old) who underwent traumatic cataract surgery from January to June 2019. Children with posterior segment injury and those who did not complete 6 months of postoperative follow-up were excluded. The demographic features, mechanism and time of eye injury, clinical features, surgical approach, and outcome were recorded and analyzed.
The study included 34 eyes of 34 children, 23 (68%) of them were boys. The mean age at the time of cataract surgery was 10±3.97 years. Twenty-one eyes sustained open globe injury (62%) with the most common cause of trauma was wooden sticks, while 13 eyes had closed globe injury (38%) with the most common cause of injury was thrown stones. The time interval between eye injury and cataract surgery ranged from 1 day to 9 years with a median of 2.05 months. Posterior chamber intraocular lenses were implanted in all eyes; in 33 eyes, the posterior chamber intraocular lenses were implanted primarily at the time of cataract extraction. Corrected distance visual acuity significantly improved from 2.63±0.66 LogMAR preoperatively, to 0.41±0.38 LogMAR postoperatively (p < 0.001).
Pediatric traumatic cataract is commonly present in primary school age especially after open globe injury. Primary prevention through health awareness should target this age population. Useful vision can be regained with timely proper surgical intervention and posterior chamber intraocular lens implantation.
NCT04630509.
阐述埃及上埃及阿斯尤特大学医院儿童外伤性白内障手术的人口统计学特征、致病因素及手术结果，这些患儿的眼后段未受累。
这是一项针对2019年1月至6月接受外伤性白内障手术的儿童（年龄<18岁）的回顾性研究。排除眼后段损伤的儿童以及术后随访未满6个月的儿童。记录并分析人口统计学特征、眼外伤的机制和时间、临床特征、手术方式及手术结果。
该研究纳入了34名儿童的34只眼，其中23名（68%）为男孩。白内障手术时的平均年龄为10±3.97岁。21只眼发生开放性眼球损伤（62%），最常见的致伤原因是木棍；13只眼发生闭合性眼球损伤（38%），最常见的致伤原因是投掷石块。眼外伤与白内障手术的时间间隔为1天至9年，中位数为2.05个月。所有眼均植入了后房型人工晶状体；33只眼在白内障摘除时一期植入了后房型人工晶状体。矫正远视力从术前的2.63±0.66 LogMAR显著提高至术后的0.41±0.38 LogMAR（p<0.001）。
儿童外伤性白内障常见于小学年龄段，尤其是开放性眼球损伤后。通过健康宣传进行一级预防应针对该年龄段人群。及时进行适当的手术干预和植入后房型人工晶状体可恢复有用视力。
NCT04630509。
