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10.1038/eye.2015.211

http://scihub22266oqcxt.onion/10.1038/eye.2015.211
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C4791687!4791687!26611841
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suck abstract from ncbi


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pmid26611841      Eye+(Lond) 2016 ; 30 (3): 406-12
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  • Surgery for sight: outcomes of congenital and developmental cataracts operated in Durban, South Africa #MMPMID26611841
  • Gogate P; Parbhoo D; Ramson P; Budhoo R; Øverland L; Mkhize N; Naidoo K; Levine S; du Bryn A; Benjamin L
  • Eye (Lond) 2016[Mar]; 30 (3): 406-12 PMID26611841show ga
  • Purpose: To study the visual outcomes of congenital and developmental cataract surgery and determine variables for presentation for pediatric cataract surgery in KwaZulu Natal province of South Africa. Methods: Care-givers of children presenting with cataract to a quaternary centre were asked when they first detected the condition. The reasons for delay between detection and surgery were studied. The children underwent a comprehensive eye examination and then appropriate surgery. They were prospectively followed up for 3 months and visual acuity and stereopsis were noted. Delay in presentation for surgery and visual outcomes were co-related with demographic and clinical factors. Results: Eighty-three non-traumatic cataract surgeries in 50 children were studied. Twenty-six (52%) were males, mean age was 3 years 10 months (SD 3yrs 4 months). The mean delay between identification and surgery was 20.7 months (SD 18 months). Twenty-six (52%) children had >15 months interval between diagnosis and surgery. Only mother's occupation was significantly associated with delay (P=0.017). Post-surgery 17/69 (24.7%) had visual acuity ?6/18, 20/69 (29.0%) had vision between 6/24?6/60, whereas 32/69 (46.3%) had visual acuity ?6/60. The final vision was associated with age (P=0.031), delay between diagnosis and surgery (P<0.001), type of surgery (P=0.046) and preoperative vision (P<0.001). Conclusion: Although the children's vision improved substantially, a longer follow-up and amblyopia treatment would be necessary to optimize the visual outcome, which depended on age and preoperative vision. Health promotion activities aimed at mothers are important in improving visual outcomes.
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