Clinical characteristics of congenital and developmental cataract in Kazakhstan
Kabylbekova A. Meirmanov S. Aringazina A. Orazbekov L. Auyezova A.
December 2022Wolters Kluwer Medknow Publications
Indian Journal of Ophthalmology
2022#70Issue 124325 - 4330 pp.
Purpose: To study and describe clinical characteristics of congenital and developmental cataract at a tertiary eye care facility. Methods: In this retrospective study, 942 children (1311 eyes) presenting with congenital/developmental cataract over a 10-year study period were included. Gender, age at surgery, main presenting complaint, morphologic type of cataract, laterality, family history, and associated findings were recorded. Results: The overall proportion of boys and girls undergoing cataract surgery was approximately equal (P = 0.110). However, in the cases of bilateral cataract, the proportion of boys was larger than girls (P = 0.028). More than half (62.3%) of the patients underwent surgery at the age of >3 years. The main presenting complaint was white pupils, accounting for 48.1% of cases. Total cataract was the most common morphologic type in all age groups. In total, 133 children out of 942 (14.1%) had a positive family history of congenital/developmental cataract. Strabismus and nystagmus were seen in 27.2% and 19.3% of the eyes, respectively. Additional ocular dysmorphology was found in 97 (10.3%) of patients. Coexisting systemic disease was found in 149 (15.8%) cases. Among syndrome-associated cataracts, Down syndrome accounted for the majority of cases. Conclusion: High prevalence of total cataracts as well as frequent association with strabismus and nystagmus are likely to be the consequences of delayed presentation.
Cataract , cataract surgery , child , congenital cataract , developmental cataract
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Department of Population Health and Social Science, Kazakhstans Medical University, Ksph, Almaty, Kazakhstan
College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu City, Japan
Office of Innovation Programs, Almaty Management University, Almaty, Kazakhstan
Department of Pediatric Ophthalmology, Kazakh Eye Research Institute, Almaty, Kazakhstan
Department of Population Health and Social Science
College of Asia Pacific Studies
Office of Innovation Programs
Department of Pediatric Ophthalmology
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