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Late diagnosis and surgical treatment of patients diagnosed with unilateral congenital cataract at Fundación Visión, in Asuncion, Paraguay

2014; Conselho Brasileiro de Oftalmologia; Volume: 77; Issue: 5 Linguagem: Inglês

10.5935/0004-2749.20140075

1678-2925

Manuel Zegarra, Gisella Harumi Burga, Van Charles Lansingh, Margarita Samudio, Edgar Duarte, Rocio Ferreira, Yesenia Dorantes, J.C. Gines, Luz Zepeda,

Ophthalmology and Visual Health Research

Purpose: Providing data on the late diagnosis and surgical treatment of patients who underwent surgery for total unilateral congenital cataract.Methods: Systematic retrospective review of the medical record of all patients between 0 and 16 years old with total unilateral congenital cataract who underwent surgery at Fundación Vision between January 2010 and July 2012.Results: Medical records of 37 patients (51 % females) were studied, age was 7.4 (± 4.9) years (average ± SD) and 62% lived on Departamento Central (the most populated region from Paraguay).A total of 97.3% patients underwent late surgical treatment and 86.5% received a late diagnosis.The average time elapsed between the diagnosis and the surgical treatment was one month, and 62.2% of the patients underwent surgery within six months from the diagnosis. Conclusion:This study evidences that most of the patients in our series had a late treatment as a result of a late diagnosis.Based on these results we recommend establishing strategies to improve the early detection and surgical treatment of the newborns.