Background: Pediatric cataract is a significant cause of childhood blindness. The demography and morphology of cataracts can be helpful in establishing the etiology, surgical outcome and visual prognosis.
Patients and methods: This was a retrospective study conducted on children diagnosed as pediatric cataract attending Mansoura Ophthalmic Center, Mansoura University, Egypt within the period from January 2016 till January 2021. The study Included all children (≤18 years) diagnosed with cataract, and underwent cataract extraction with or without IOL implantation. Records were reviewed for epidemiological, clinical and surgical data.
Results: Records of 160 eyes (of 124 patient) were reviewed. Mean age was 7.6 years, and ranged from 2 months to 17 years, (65.3%) were male (34.7%) female. Most of cases were free of nystagmus or strabismus. Among all studied cases, 41.3% of cases had congenital cataract, 53.1% had traumatic cataract. Among all studied congenital cataract cases., 30.3% had total cataract, 15.1% had Anterior polar cataract, 13.6% had Posterior polar cataract, 12.1% had Lamellar cataract, 9.0% had nuclear cataract, 7.5% had blue dot cataract, and 9.0% had Nuclear and posterior subcapsular cataract. All studied cases were subjected to surgical approaches, anterior approach was the most used approach, most of cases were associated with IOL implantation. Conclusion: Pediatric cataract cases in our locality represent a common and challenging aspect. Traumatic cataract was the most common followed by congenital cataract. Anterior surgical approach was the most common used management.