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Katarak Pediatrik: Profil Kilnik dan Faktor Determinan Hasil Terapi(Pediatric Cataract: Clinical Profile and Outcomes Determinant)
ABSTRACT
Pediatric cataract is one of the important causes of low vision and blindness in children. This study aimed to describe the clinical characteristics and outcome of pediatric cataract. A retrospective-descriptive study was conducted over a period of 4 years, from December 2006 to December 2011. Data on gender, age, age of onset, causative factor; bilaterality, visual acuity before and after surgery, type of surgery, complications found before and after surgery, and follow up from 58 eyes of 43 pediatric patients were collected. Male patients contributed a higher percentage than female (67,4%). The most frequent cause of pediatric cataract was non traumatic (67,4%)and mostly found since birth (51,690. The mostly affected range of age and age of surgery were between 6 to 10 years old for traumatic cataract (73,390, and between 1-6 years old for non traumatic cataract (38,7%). Among many types of surgery, Extra Capsular Cataract Extraction+Intraocular Lens+periphemi iridectomy was the most commonly performed (319). Nystagmus had already happened in mast of the observed eye in non traumatic patients (34,9%). In post operative course, 10 out of 15 patients (66,7%) in traumatic patients achieved good visual acuity; in the contrary, most of non traumatic patients still in the low vision state (30,2%). Inthis study there was a strong correlation between delayed surgery and poor post operative visual acuity (r=0,707; p=0,000) but there was no correlation between types of surgery and incidence of Posterior Capsular opacification, with r=0,053; p=0,691. Non traumatic cataract was the leading cause of pediatric cataract, with most of the cases occurred since birth. Post operative visual acuity in majority of non traumatic cataract case was still classified as low vision due to delayedtreatment.
Keywords: Non traumatic cataract, pediatric cataract, traumatic cataract, visus
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