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Solange Milazzo, Anne Sophie Claisse, Dominique Bremond-Gignac; Strabismus and congenital cataract. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1771.
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to evaluate strabismus and amblyopia in children with partial or complete congenital cataracts, with or without surgery.
A single-center retrospective study of 51 children, from september 1999 to september 2010 was conducted. All patients presented congenital cataracts, 19 unilateral (15 operated), and 32 bilateral (27 operated). Of these children, 16% presented associated ocular anomalies, and 16% systemic anomalies (bilateral cataracts). VA, amblyopia and oculomotor disordres were evaluated.
VA was of 20/50 in group of unilateral cataracts and of 20/32 in the group of bilateral cataracts. We observed 40% of esotropia and 13 % of exotropia in unilateral cases, versus 37% of esotropia, 37 % of nystagmus and 18% of exotropia in bilateral cataracts.
Visual results depend of various parameters, as type of cataract, time of the surgery, cooperation of the family, orthoptic reeducation and follw-up. It is always a difficult problem of therapeutic choice.
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