Posters

Clinical and therapeutic characteristics of congenital cataract: study of 166 cases

Poster Details

First Author: W.Belaydi MOROCCO

Co Author(s): Y. Akannour   K. Bayad   E. Abdallah   A. Berraho           

Abstract Details

Purpose:

Congenital cataract is defined as a loss, since birth, of transparency of the crystalline lens partially or totally . Which can be isolated or part of a syndrome and can lead the most often to a severe amblyopia . Our work is intended to use  our experience in the diagnosis and management of this pathology. Reveal the factors of bad prognosis influencing the visual recovery after surgery .

Setting:

Study of 166 patients , in  Ophtalmology Department  of  the IBN SINA University Hospital center in RABAT

Methods:

A retrospective study of 166 patients ( 264 eyes ) is done , during a period of 5 years between  december 2010 and December 2018  . our stady included all the  cases of congenital cataract  regardless of the age of discovery ,   excluding  the lenticular ectopias whish do not come along systematically with a disorder of transparency of the lens , the congenital cataract not obturant  not having required a surgical care as well as secondary cataracts to an ocular pathology or post-traumatic .

Results:

The average age of the patients during the surgical management was 28 months,  Leucocoria was the main chief complaint, with bilateral cataracts in 74%, unilateral in 27%.The etiological Survey was negative in 48% of cases,  embryofoetopathy in 18 ,6% of them, syndromic genetic cataracts in 21,6% and isolated heredity with 10,8%.  All our patients benefited from the same  operative  procedure ; phacoaspiration followed by a posterior capsulorhexis , an anterior vitrectomy , and an implantation  in the capsular sac , as well as an adapted orthoptic rehabilitation , with good anatomical and functional result and very few postoperative complications

Conclusions:

Congenital cataracts have different etiological and clinical features, their visual prognosis depends on the age of the surgical management, the uni or bilateral nature of the  cataract, the possible syndromic association and a fast management of amblyopia.

Financial Disclosure:

None