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Journal of Ophthalmology - Volume 2015 2015, Article ID 927840, 4 pages -

Research Article

Department of Ophthalmology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria

Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria

Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Department of Community Medicine, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria

Department of Pediatrics, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria

Received 12 June 2015; Accepted 21 July 2015

Academic Editor: Van C. Lansingh

Copyright © 2015 Roseline Duke et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Congenital and developmental cataracts are leading causes of childhood blindness and severe visual impairment. They may be associated with systemic diseases including congenital heart diseases which are among the major causes of morbidity and mortality in childhood. The pattern of systemic comorbidities seen in children diagnosed with cataract in Calabar, Nigeria, was studied. Methods. A retrospective review was conducted on the children who had cataract surgery between 2011 and 2012. Diagnosis of the systemic condition was documented. Results. A total of 66 children were recruited for the study. Cardiac disease was seen in 26 children 39.9%, followed by delayed milestone in 16 24.2%, intellectual disability in 14 21.2%, deafness in 11 16.7%, epilepsy in 4 6.1%, and physical handicap in 3 4.5% of them. Clinically confirmed Congenital Rubella Syndrome was seen in 30 45% of the children. The pattern of CHD seen was as follows: patent ductus arteriosus in 16 24.2% followed by ventricular-septal defect in 5 7.6%, atrial-septal defect in 3 4.5%, and pulmonary stenosis in 2 3%. Conclusion. Systemic comorbidities, especially cardiac anomalies, are common among children with cataract in Nigeria. Congenital Rubella Syndrome may be a prominent cause of childhood cataract in our environment. Routine immunization of school girls against rubella is advocated as a measure to mitigate this trend.





Autor: Roseline Duke, Sidney Oparah, Adedayo Adio, Okon Eyo, and Friday Odey

Fuente: https://www.hindawi.com/



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