Management of Bilateral Congenital and Juvenile Cataracts in a Low-Income Country: Patient Identification, Treatment Outcomes, and Follow Up
Rattachement africain : de, République démocratique du Congo, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Childhood blindness remains a neglected issue in eye care within low-income countries, with congenital and juvenile cataracts being the most common treatable causes. This study aims to investigate the factors influencing the management of congenital and juvenile bilateral cataracts, provide data on general outcomes and postoperative findings, and discuss treatment in a low-income country context. METHODS: In this prospective study, data from clinical care were continuously entered into a database, and one follow-up examination of a cohort of 91 patients with congenital and juvenile bilateral cataracts in Kinshasa, Democratic Republic of the Congo, was conducted. Multiple factors that affect the first clinical presentation, the clinical management, and outcome were investigated. RESULTS: Most patients (88.5%) who received medical treatment were identified by cataract finders. A patient's presentation time was independent of the parent's education, social status, income, and sex of the child. The median age at first presentation was 5.8 years (ranging from 0 days to 17.3 years). The best visual acuity outcomes were achieved by patients who underwent surgery during early childhood. According to WHO grades and on an eye level basis, 51.1% (93 out of 182 eyes) showed improvement, while 34.6% (63 eyes) had unchanged results post-surgery. Among the cases without improvement, 76.2% were blind prior to surgery. Postoperative findings were observed in 56% of the patients, with secondary cataracts being the most common, affecting 26.37% of the operated eyes. CONCLUSIONS: Optimal management of childhood cataracts involves early identification, efficient hospital infrastructure, high-quality medical care, and long-term follow up. In sub-Saharan Africa, this approach must be adapted to the context of available resources, which differs significantly from those in high- and middle-income countries.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Management of Bilateral Congenital and Juvenile Cataracts in a Low-Income Country: Patient Identification, Treatment Outcomes, and Follow Up
- Date Crossref
- 30/08/2024
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universitätsmedizin Greifswald pays non établi dans la noticeÉtablissement de santé
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Kinshasa General Hospital Kinshasa General Hospital, République démocratique du Congo (code pays fourni par la source)Établissement de santé
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University of Rostock pays non établi dans la noticeUniversité ou école supérieure
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Liverpool School of Tropical Medicine GAELF Secretariat pays non établi dans la noticeOrganisme public
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University Medicine Greifswald Department of Ophthalmology pays non établi dans la noticeUniversité ou école supérieure
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St. Joseph Hospital Kinshasa St. Joseph Hospital Kinshasa, République démocratique du Congo (pays nommé en fin d’affiliation)Établissement de santé
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Rostock University Medical Center Institute for Biomedical Engineering pays non établi dans la noticeUniversité ou école supérieure
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German Committee for the Prevention of Blindness pays non établi dans la noticeInstitution
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Democratic Republic of the Congo Ngaliema Kinshasa Ngaliema Kinshasa, République démocratique du Congo (pays nommé en fin d’affiliation)Organisation à but non lucratif
Universitätsmedizin Greifswald, Kinshasa General Hospital (Kinshasa General Hospital, République démocratique du Congo) et University of Rostock, avec 6 autres affiliations. Pays d’affiliation : République démocratique du Congo.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.