Children with congenital and childhood cataract require frequent follow-up visits and examinations in general anaesthesia: considerations for the strain on families
Autor: | Moug Al-Bakri, Dorte Ancher Larsen, Daniella Bach-Holm, Hanne Jensen, Birgit Sander, Line Kessel |
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Rok vydání: | 2018 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors SURGERY Office Visits medicine.medical_treatment Visual Acuity First year of life Disease Cataract Extraction Anesthesia General Cataract 03 medical and health sciences 0302 clinical medicine Lens Implantation Intraocular Chart review Outpatients medicine Humans General anaesthesia Family Child Retrospective Studies family strain business.industry congenital Infant General Medicine anaesthesia BRAIN STRUCTURE Cataract surgery family stress Childhood cataract Ophthalmology Outpatient visits cataract Child Preschool 030221 ophthalmology & optometry Female childhood cataract business 030217 neurology & neurosurgery Surgical patients Follow-Up Studies |
Zdroj: | Al-Bakri, M, Sander, B, Bach-Holm, D, Larsen, D A, Jensen, H & Kessel, L 2019, ' Children with congenital and childhood cataract require frequent follow-up visits and examinations in general anaesthesia : considerations for the strain on families ', Acta Ophthalmologica, vol. 97, no. 8, pp. 778-783 . https://doi.org/10.1111/aos.14081 |
ISSN: | 1755-3768 |
Popis: | Background Children with cataract require frequent monitoring to detect complications, adjust refractive correction and treat amblyopia. This is time consuming for the families. The aim of the study was to evaluate how often children with cataract are seen as outpatients or under general anaesthesia during the first 7 years of life. Methods We performed a retrospective chart review of all children with congenital and childhood cataract born between 2000 primo and 2017 seen at our institution. The cumulated number of outpatient visits and examinations and/or surgeries in general anaesthesia was extracted for age 1, 3, 5 and 7 years. Results Children who had cataract surgery were seen significantly more often than children without surgery. During the first year of life, children with bilateral surgery had a median of nine outpatient visits, children with unilateral cataract had 11 and children without surgery had five outpatient visits. At 7 years of age, half of the children operated bilaterally before 1 year of age had undergone at least five procedures/examinations in general anaesthesia versus 1/4 of those with unilateral surgery and none of those without surgery. Children were seen less frequently with advancing age. Conclusion The management, treatment and follow-up of children with cataract are demanding, requiring frequent hospital visits and repeated examinations and/or surgical procedures in general anaesthesia over many years, but mainly during the first year of life. Surgical patients are more complex and require closer follow-up. This message is important to convey to the parents at the onset of the disease. |
Databáze: | OpenAIRE |
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