ESCRS - PO0341 - Patterns Of Pediatric Cortisone-Induced Cataract In A Referral Center In Tunisia

Patterns Of Pediatric Cortisone-Induced Cataract In A Referral Center In Tunisia

Published 2023 - 41st Congress of the ESCRS

Reference: PO0341 | DOI: 10.82333/qzzt-vc41

Authors: Meryem Doukh* 1 , Amira Satouri 1 , Manel Mekni 1 , Leila Nacef 1

1ophthalmolgy,Hedi raies institute,tunisia,Tunisia

The aim of this study is to analyze the epidemiological, clinical and therapeutic profile of this pathology to establish a better management. 

Ophthalmology department of hedi raies institute , tunisia

Retrospective study of 85 cases of cortisone cataract, collected in the department of pediatric ophthalmology from January 2014 to January 2023

The mean age of the patients was 12.6 years with a male predominance (71). The examination showed a bilateral cataract in 89% of cases, the type of cataract was posterior subcapsular in 78% and total white in 13.5% of cases. 33% of the patients presented a cortisone glaucoma.
 Most often it was associated to an allergic conjunctivitis with self-medication (82% of cases). Dexametasone was the most common corticosteroid used locally (82% of cases), for an average of 4.6 years. All patients underwent phacoemulsification with placement of an IOL in the posterior chamber. Postoperative evolution was good with an improvement in visual acuity.

The ophthalmologic complications of prolonged corticosteroid therapy are numerous and should be a major concern for the physician. The institution of corticosteroid therapy requires a good education of the patient and an extremely meticulous surveillance.