Prevalence and Factors Related to Visual Impairments in Children with Bilateral Cataract Following Surgery and the Potential Need for Education and Rehabilitation Services

Autor/inn/en	Yahalom, Claudia; Kochavi, Moria Medezinsky; Mechoulam, Hadas; Cohen, Evelyne; Anteby, Irene
Titel	Prevalence and Factors Related to Visual Impairments in Children with Bilateral Cataract Following Surgery and the Potential Need for Education and Rehabilitation Services
Quelle	In: Journal of Visual Impairment & Blindness, 116 (2022) 1, S.61-69 (9 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Yahalom, Claudia)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-482X
DOI	10.1177/0145482X211073588
Schlagwörter	Visual Impairments; Incidence; Surgery; Rehabilitation; Age Differences; Visual Acuity; Children; Early Adolescents; Foreign Countries; Israel (Jerusalem) + Suchen Sie Ihr Suchwort? Visual handicap; Sehbehinderung; Vorkommen; Chirurgie; Age; Difference; Age difference; Altersunterschied; Optisches Differenzierungsvermögen; Child; Kind; Kinder; Ausland
Abstract	Introduction: Pediatric cataract is still a major cause for childhood visual impairment. The goal of our study was to analyze the prevalence of children with impaired vision (6/15 or worse) after surgery for bilateral cataract, to evaluate factors associated with it and to emphasize the importance for visual rehabilitation including the use of visual aids, educational measures, and social worker services. Methods: Retrospective analysis of medical records from children who underwent surgery for cataract up to age 6 years, with a follow-up of at least 4 years. Clinical characteristics retrieved from medical records included visual acuity, presence of nystagmus and/or strabismus, age at surgery, intraocular lens (IOL) implantation, and others. Results: Fifty-five children were included in the study. Follow-up ranged from 4 to 13 years (Mdn = 6.8). Visual impairment was found in 15/24 (62.5%) of children operated on before the age of 6 months (group 1), and in 7/31 (22.5%) n those operated after the age of 6 months (group 2; p = 0.019). Thirty-eight of the 55 children had a primary IOL implantation; nystagmus and microphthalmos were also associated with higher rates of visual impairment. Discussion: Despite early and modern surgery, long-term visual outcome remains poor in children undergoing bilateral cataract surgery at young age. When discussing visual prognosis with parents, it is important to recognize factors associated with visual impairment, such as need for surgery before age 6 months, nystagmus and microphthalmos, as well as the importance for early visual rehabilitation services when needed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01