Comprehensive Management of Congenital Cataract in Dizygotic Twin Babies
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Introduction: One of the leading causes of infant blindness is cataract. The prevalence of congenital cataract has been estimated in the range between 1 and 15 per 10.000 children globally. Congenital cataract in twin babies is a rare case. This case will report the outcome of comprehensive management of congenital cataract in dizygotic twin babies. Case presentation: Eight months old dizygotic twin babies came to our clinic with the primary complaint of whitish appearance in the pupil of both eyes since birth. They were born aterm with cesarean delivery. The birth weight was 2.700 g and 3.100 g respectively. They were the fourth and fifth children in the family. There was no family history of congenital cataract. The visual acuity of both eyes was positive response to light stimuli. The cataract was bilateral and dense on both babies. Fundus reflex and TORCH examinations were negative. Ultrasonography (USG) of the retina was normal on both babies. Conclusions: Isolated congenital cataract in twin babies is an unusual condition that should be treated comprehensively. Congenital cataract may cause deprivation amblyopia, refractive amblyopia, and permanent vision impairment. Early diagnosis and quick treatment, such as surgical timing and visual rehabilitation, are critical to perform successful management. Comprehensive care is required to monitor the visual result of cataract surgery.
American Academy of Ophthalmology. 2020-2021 BCSC (Basic and Clinical Science Course), Section 11: Lens and Cataract. San Fransisco: American Academy of Ophthalmology; 2020.
Lin H, Yang Y, Chen J, Zhong X, Liu Z, Lin Z, et al. Congenital cataract: prevalence and surgery age at Zhongshan Ophthalmic Center (ZOC). PLoS One 2014;9:e101781–e101781. https://doi.org/10.1371/journal.pone.0101781.
Medsinge A, Nischal KK. Pediatric cataract: Challenges and future directions. Clin Ophthalmol 2015;9:77–90. https://doi.org/10.2147/OPTH.S59009.
Lee BJ, Lee S-M, Kim JH, Yu YS. Predictability of formulae for intraocular lens power calculation according to the age of implantation in paediatric cataract. Br J Ophthalmol 2019;103:106–11. https://doi.org/10.1136/bjophthalmol-2017-311706.
Yangzes S, Kaur S, Gupta PC, Sharma M, Jinagal J, Singh J, et al. Intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life. Eur J Ophthalmol 2019;29:304–8. https://doi.org/10.1177/1120672118790193.
Lim ME, Buckley EG, Prakalapakorn SG. Update on congenital cataract surgery management. Curr Opin Ophthalmol 2017;28:87–92. https://doi.org/10.1097/ICU.0000000000000324.
Rajavi Z, Sabbaghi H. Congenital Cataract Screening. J Ophthalmic Vis Res 2016;11:310–2. https://doi.org/10.4103/2008-322X.188389.
Lee KA, Park M-H, Kim YJ, Chun SH. Isolated congenital hereditary cataract in a dizygotic twin: Prenatal ultrasonographic diagnosis. Twin Res Hum Genet Off J Int Soc Twin Stud 2013;16:994–7. https://doi.org/10.1017/thg.2013.50.
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