PEDIATRIC TRAUMATIC CATARACT : HOW TO MAXIMIZE SURGICAL OUTCOMES ?
Published 2024 - 28th ESCRS Winter Meeting
Reference: MP15 | Type: Presented Poster & Poster | DOI: 10.82333/najb-zd02
Authors: Chaimae Baqadir* 1 , meriem El alami 1 , imane laabi 1 , Mariam Issa Mahamat Adoudou 1 , achraf slimane 1 , ghizlane daghouj 1 , loubna el maaloum 1 , bouchra allali 1 , asmaa el kettani 1
1Pediatric Ophtalmology Department,20 august Hospital 1953,Casablanca,Morocco
Purpose
Traumatic cataracts are a frequent complication of ocular trauma in children. trauma in children. The aim of this study is to determine the epidemiological, clinical, therapeutic and prognostic aspects of pediatric traumatic cataract in the Moroccan context.
Setting
This is a retrospective study of children hospitalized for traumatic cataract; at the Pediatric Ophthalmology Department of the 20 Aout Hospital of Casablanca University Hospital, between July 2012 and July 2022.
Methods
We recruited 368 patients, that represented 10% of all hospitalized children. It is about 368 eyes (no bilateral cases).
Results
Mean age was 7.5 years (1 month to 15 years). The sex ratio was 3.5. The circumstances of onset were dominated by play (70%). The dominant traumatic agent was a stone thrown in 25% of cases, followed by a plant thorn in 18%. The trauma was open in 85% of cases, closed in 20%. The cataract was ruptured in 60% of cases, 95% of eyes were implanted, of which 82% in the sac and 15% in the sulcus. There was zonular rupture in 5 cases (2%), posterior capsule rupture in posterior capsule rupture in 81 cases (22%) and vitreous exit in 64 cases (17,5%). Therapeutic abstention occurred in 4 cases. Post-op, 55% of cases showed an inflammatory reaction, 7% showed ocular hypertonia , and 15% of cases developed secondary cataracts. Post-operative corrected visual acuity was less than 3/10ths in 25% of cases between 3 and 5/10ths in 20% of cases, and greater than 5/10ths in 38.8% of cases.
The management of post-traumatic cataracts in children often requires dual expertise in emergency surgery of both the anterior and posterior segments. The surgical outcome and visual prognosis of traumatic cataract in children is conditioned by several factors: the time and mechanism of the trauma, the surgical technique, associated lesions and complications, the most disabling of which in the long term is amblyopia.
Conclusion
Traumatic cataract is a frequent cause of blindness in children. Its management is difficult. surgical outcome and the prognosis are often poor due to associated
lesions and the risk of amblyopia. The best treatment remains prevention.