Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia
Autor(a) principal: | |
---|---|
Data de Publicação: | 2004 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-27492004000600015 http://repositorio.unifesp.br/handle/11600/2330 |
Resumo: | PURPOSE: To analyze the clinical and therapeutic profiles of children with congenital cataract submitted to lensectomy. METHODS: Retrospective study of 89 eyes of 62 children who underwent surgery at the Congenital Cataract Sector - Department of Ophthalmology - Federal University of São Paulo, Brazil. RESULTS: Among the 62 children, 30.64% showed infectious causes, 19.36% genetic causes and 50% idiopathic causes. Strabismus was found in 54.83% of the patients and 27.42% had systemic diseases. Concerning pregnancy conditions, 22.58% of the mothers had no adequate prenatal care. Consanguinity was observed in 17.74% of the cases and congenital cataracts in 6 (9.68%) relatives. The diagnostic suspicion was of the mothers in 72.58% of children. Leukocoria was the main feature. The suspicion age varied from immediately after birth to 15 months (mean = 1.34 months). Age on diagnosis in the department varied from 8 days to 20 months (mean = 5.84 months). Secondary opacification in the visual axis was the most frequent postoperative complication; it occurred in 19.11% of 89 eyes. It was observed that 45.16% of the patients had difficulties in following postoperative treatment. They did not use eyeglasses, eye drops or correct eye patching for amblyopia. CONCLUSION: Rubeola is still one of the most important causes of congenital cataract in our country. This condition shows the necessity of better prevention. The first diagnostic suspicion is mainly by the mothers and within the three first months of age in most children, but there is a considerable delay between suspicion and the patient's presence in a specialized service center. Despite satisfactory surgery results, delay of surgery and difficulties in postoperative treatment impair final visual results. |
id |
UFSP_e46759eb2f059ed33c4e83b1a48d0ffd |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br/:11600/2330 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
spelling |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomiaCongenital cataract: diagnostic, clinic and surgical features in patients submitted to lensectomyCataractCataract extractionAmblyopiaOphthalmologic surgical proceduresRetrospectives studiesCatarataExtração de catarataAmbliopiaProcedimentos cirúrgicos oftalmológicosEstudos retrospectivosPURPOSE: To analyze the clinical and therapeutic profiles of children with congenital cataract submitted to lensectomy. METHODS: Retrospective study of 89 eyes of 62 children who underwent surgery at the Congenital Cataract Sector - Department of Ophthalmology - Federal University of São Paulo, Brazil. RESULTS: Among the 62 children, 30.64% showed infectious causes, 19.36% genetic causes and 50% idiopathic causes. Strabismus was found in 54.83% of the patients and 27.42% had systemic diseases. Concerning pregnancy conditions, 22.58% of the mothers had no adequate prenatal care. Consanguinity was observed in 17.74% of the cases and congenital cataracts in 6 (9.68%) relatives. The diagnostic suspicion was of the mothers in 72.58% of children. Leukocoria was the main feature. The suspicion age varied from immediately after birth to 15 months (mean = 1.34 months). Age on diagnosis in the department varied from 8 days to 20 months (mean = 5.84 months). Secondary opacification in the visual axis was the most frequent postoperative complication; it occurred in 19.11% of 89 eyes. It was observed that 45.16% of the patients had difficulties in following postoperative treatment. They did not use eyeglasses, eye drops or correct eye patching for amblyopia. CONCLUSION: Rubeola is still one of the most important causes of congenital cataract in our country. This condition shows the necessity of better prevention. The first diagnostic suspicion is mainly by the mothers and within the three first months of age in most children, but there is a considerable delay between suspicion and the patient's presence in a specialized service center. Despite satisfactory surgery results, delay of surgery and difficulties in postoperative treatment impair final visual results.OBJETIVO: Estabelecer o perfil clínico-terapêutico e resultados cirúrgicos de crianças submetidas a lensectomia. MÉTODOS: Estudo retrospectivo de 89 olhos operados de 62 crianças do Setor de Catarata Congênita do Departamento de Oftalmologia da UNIFESP-EPM. RESULTADOS: Entre as 62 crianças, 30,64% apresentaram causa infecciosa, 19,36% genética e 50% idiopática. Estrabismo foi encontrado em 54,83% das crianças e 27,42% apresentaram alterações sistêmicas. Quanto às condições gestacionais, 22,58% das mães não realizaram adequadamente o pré-natal. Consangüinidade foi observada em 17,74% dos casais e catarata congênita em 9,68% dos familiares. A suspeita diagnóstica foi realizada pelas mães em 72,58% dos casos, sendo leucocoria o principal sinal. A idade da suspeita diagnóstica variou de imediatamente após o nascimento até 15 meses (média = 1,34 meses), ao passo que a idade de atendimento no serviço variou de 8 dias a 20 meses (média = 5,84 meses). Opacidade secundária de eixo visual foi a principal complicação cirúrgica, ocorrendo em 19,1% dos olhos operados. Com relação à adesão ao tratamento pós-operatório, 45,16% apresentaram dificuldades quanto ao uso de oclusivo, óculos ou colírios. CONCLUSÃO: A rubéola persiste como uma das principais causas de catarata congênita em nosso meio, sendo necessário maior atenção às medidas preventivas A suspeita diagnóstica inicial da catarata é realizada principalmente pelas mães (72,58%) e até os 3 meses de idade (93,44%) período ideal para a recuperação visual. Há, porém, demora considerável entre a suspeita e o atendimento no serviço especializado. A realização tardia da cirurgia, juntamente com insatisfatória adesão ao tratamento pós-cirúrgico, compromete os resultados visuais finais.Universidade Federal de São Paulo (UNIFESP) Serviço de Catarata CongênitaUNIFESP, Serviço de Catarata CongênitaSciELOConselho Brasileiro de OftalmologiaUniversidade Federal de São Paulo (UNIFESP)Oliveira, Márcia Lima Santos [UNIFESP]Di Giovanni, Maria Elizabeth [UNIFESP]Porfírio Neto Jr, Francisco [UNIFESP]Tartarella, Marcia Beatriz [UNIFESP]2015-06-14T13:31:22Z2015-06-14T13:31:22Z2004-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion921-926application/pdfhttp://dx.doi.org/10.1590/S0004-27492004000600015Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 67, n. 6, p. 921-926, 2004.10.1590/S0004-27492004000600015S0004-27492004000600015.pdf0004-2749S0004-27492004000600015http://repositorio.unifesp.br/handle/11600/2330porArquivos Brasileiros de Oftalmologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T10:37:24Zoai:repositorio.unifesp.br/:11600/2330Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T10:37:24Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia Congenital cataract: diagnostic, clinic and surgical features in patients submitted to lensectomy |
title |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia |
spellingShingle |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia Oliveira, Márcia Lima Santos [UNIFESP] Cataract Cataract extraction Amblyopia Ophthalmologic surgical procedures Retrospectives studies Catarata Extração de catarata Ambliopia Procedimentos cirúrgicos oftalmológicos Estudos retrospectivos |
title_short |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia |
title_full |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia |
title_fullStr |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia |
title_full_unstemmed |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia |
title_sort |
Catarata congênita: aspectos diagnósticos, clínicos e cirúrgicos em pacientes submetidos a lensectomia |
author |
Oliveira, Márcia Lima Santos [UNIFESP] |
author_facet |
Oliveira, Márcia Lima Santos [UNIFESP] Di Giovanni, Maria Elizabeth [UNIFESP] Porfírio Neto Jr, Francisco [UNIFESP] Tartarella, Marcia Beatriz [UNIFESP] |
author_role |
author |
author2 |
Di Giovanni, Maria Elizabeth [UNIFESP] Porfírio Neto Jr, Francisco [UNIFESP] Tartarella, Marcia Beatriz [UNIFESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Oliveira, Márcia Lima Santos [UNIFESP] Di Giovanni, Maria Elizabeth [UNIFESP] Porfírio Neto Jr, Francisco [UNIFESP] Tartarella, Marcia Beatriz [UNIFESP] |
dc.subject.por.fl_str_mv |
Cataract Cataract extraction Amblyopia Ophthalmologic surgical procedures Retrospectives studies Catarata Extração de catarata Ambliopia Procedimentos cirúrgicos oftalmológicos Estudos retrospectivos |
topic |
Cataract Cataract extraction Amblyopia Ophthalmologic surgical procedures Retrospectives studies Catarata Extração de catarata Ambliopia Procedimentos cirúrgicos oftalmológicos Estudos retrospectivos |
description |
PURPOSE: To analyze the clinical and therapeutic profiles of children with congenital cataract submitted to lensectomy. METHODS: Retrospective study of 89 eyes of 62 children who underwent surgery at the Congenital Cataract Sector - Department of Ophthalmology - Federal University of São Paulo, Brazil. RESULTS: Among the 62 children, 30.64% showed infectious causes, 19.36% genetic causes and 50% idiopathic causes. Strabismus was found in 54.83% of the patients and 27.42% had systemic diseases. Concerning pregnancy conditions, 22.58% of the mothers had no adequate prenatal care. Consanguinity was observed in 17.74% of the cases and congenital cataracts in 6 (9.68%) relatives. The diagnostic suspicion was of the mothers in 72.58% of children. Leukocoria was the main feature. The suspicion age varied from immediately after birth to 15 months (mean = 1.34 months). Age on diagnosis in the department varied from 8 days to 20 months (mean = 5.84 months). Secondary opacification in the visual axis was the most frequent postoperative complication; it occurred in 19.11% of 89 eyes. It was observed that 45.16% of the patients had difficulties in following postoperative treatment. They did not use eyeglasses, eye drops or correct eye patching for amblyopia. CONCLUSION: Rubeola is still one of the most important causes of congenital cataract in our country. This condition shows the necessity of better prevention. The first diagnostic suspicion is mainly by the mothers and within the three first months of age in most children, but there is a considerable delay between suspicion and the patient's presence in a specialized service center. Despite satisfactory surgery results, delay of surgery and difficulties in postoperative treatment impair final visual results. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-12-01 2015-06-14T13:31:22Z 2015-06-14T13:31:22Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0004-27492004000600015 Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 67, n. 6, p. 921-926, 2004. 10.1590/S0004-27492004000600015 S0004-27492004000600015.pdf 0004-2749 S0004-27492004000600015 http://repositorio.unifesp.br/handle/11600/2330 |
url |
http://dx.doi.org/10.1590/S0004-27492004000600015 http://repositorio.unifesp.br/handle/11600/2330 |
identifier_str_mv |
Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 67, n. 6, p. 921-926, 2004. 10.1590/S0004-27492004000600015 S0004-27492004000600015.pdf 0004-2749 S0004-27492004000600015 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
921-926 application/pdf |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268420318822400 |